Cascade Medical Center

LeavenworthChelan CountyCritical Access Hospitals

Arm CT scan without contrast

Quality: not rated by CMSEarliest available date: call (509) 548-5815

What you may pay

With insurance from an employer or private plan: $225 – $1,417At least one plan lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.
Paying yourself (cash price): $287 – $1,808The hospital lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Cascade Medical Center’s own price file. CareNavIQ last refreshed prices on 2026-11-05.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

Bills to expect

A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (Washington outside King County) and an estimate for private plans.

Separate bills for this procedure and their estimated amounts
Bill	Who sends it	How likely	Status	Traditional Medicare allows	Private plans (estimate)
Hospital's feeThe scan: equipment and technologist	The hospital	Expected	Published by the hospital: the prices above	—	—
RadiologistReading the scan and writing the report	The radiology group	Expected	The hospital's price file includes this fee, so it may already be in the prices above	$47	$55 to $84
Ordering doctor's visitThe visit where the CT scan is ordered or the results are explained	Your doctor	Possible	Billed separately; not priced	—	—

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage Insurance from an employer or a private plan Traditional Medicare Medicare Advantage Apple Health (Medicaid)

Your plan’s price at this hospitalDeductible you still have to pay this yearYour coinsurance after the deductibleOut-of-pocket maximum you have left this year (optional)

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's billHow your plan charges

The bill from the doctor doing the procedureHow your plan charges

You pay about $96 of about $480 billed to your plan.

That is your share of the hospital's bill, which includes the doctor's fee its price file lists. Enter your out-of-pocket maximum to see whether you'd reach it. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Hospital's feeSent by the hospital
The provider's chargeThe hospital's listed charge includes some doctors' fees, so it isn't comparable with this bill; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$480
Your plan pays
$384
Your coinsurance
$95.95
You oweThe provider bills you this after the insurer pays.
$95.95

All bills: allowed amounts: $480
Your plan pays: $384
You owe in all: $95.95

Who owes what, and when you might owe more

The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.

Get it confirmed before your care

The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.

Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.

How you’ll payWith insurancePaying myself, without insurance

Cascade Medical Center

The largest bill.

Request to send

Subject: Estimate request: arm ct scan without contrast at Cascade Medical Center

Hello,

I am planning a arm ct scan without contrast (billing code CPT 73200) at Cascade Medical Center.

Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use.

Your price list includes the fee for the radiologist: please include it in the estimate.

Name: [YOUR NAME]
Date of birth: [DATE OF BIRTH]
Insurance: [PLAN NAME], member ID [MEMBER ID]
Planned date: [DATE, IF KNOWN]

Thank you.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (509) 548-5815 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my arm ct scan without contrast."

I’ve sent this one

0 of 2 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

89 published prices, grouped by who each price applies to.

Cash price 4 prices

The hospital's discounted price for patients paying without insurance.

Cash price prices for Arm CT scan without contrast at Cascade Medical Center
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$1,455	Hospital’s fee	CT upper ext w/o contrast	—	Inpatient or outpatient	—
$1,808	Hospital’s fee	CT upper ext w/o contrast LT	—	Inpatient or outpatient	—
$287	Radiologist’s fee	CT up extrmty w/o cntrst rd	—	Inpatient or outpatient	—
$302	Radiologist’s fee	CT up extrmty w/o cntrst rd	—	Inpatient or outpatient	—

List price (before discounts) 4 prices

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for Arm CT scan without contrast at Cascade Medical Center
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$1,819	Hospital’s fee	CT upper ext w/o contrast	—	Inpatient or outpatient	—
$2,260	Hospital’s fee	CT upper ext w/o contrast LT	—	Inpatient or outpatient	—
$359	Radiologist’s fee	CT up extrmty w/o cntrst rd	—	Inpatient or outpatient	—
$377	Radiologist’s fee	CT up extrmty w/o cntrst rd	—	Inpatient or outpatient	—

Commercial insurance 7 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Commercial insurance prices for Arm CT scan without contrast at Cascade Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AMBETTER FROM COORDINATED CARE	Default	$1,141	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
AMBETTER FROM COORDINATED CARE	Default	$1,417	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
AMBETTER FROM COORDINATED CARE	Default	$225	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
AMBETTER FROM COORDINATED CARE	Default	$236	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
First Choice Health Network	Default	$240	Hospital’s fee	CT upper ext w/o contrast	fee schedule	Inpatient or outpatient	—
First Choice Health Network	Default	$240	Hospital’s fee	CT upper ext w/o contrast LT	fee schedule	Inpatient or outpatient	—
First Choice Health Network	Default	$240	Radiologist’s fee	CT up extrmty w/o cntrst rd	fee schedule	Inpatient or outpatient	—

Medicare Advantage 22 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Medicare Advantage prices for Arm CT scan without contrast at Cascade Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Aetna	Medicare Advantage	$1,052	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
Aetna	Medicare Advantage	$1,307	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
Aetna	Medicare Advantage	$52.96	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
Asuris Northwest Health	Medicare Advantage	$1,016	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
Asuris Northwest Health	Medicare Advantage	$1,262	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
Asuris Northwest Health	Medicare Advantage	$52.96	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
Blue Cross of WA Premera	Medicare Advantage	$1,052	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
Blue Cross of WA Premera	Medicare Advantage	$1,307	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
Blue Cross of WA Premera	Medicare Advantage	$52.96	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
Cigna	Medicare Advantage	$1,521	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Cigna	Medicare Advantage	$1,889	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Cigna	Medicare Advantage	$300	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Cigna	Medicare Advantage	$315	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Humana	Medicare Advantage	$1,052	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
Humana	Medicare Advantage	$1,307	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
Humana	Medicare Advantage	$52.96	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
Molina Healthcare of Washington MCR Adv	Default	$1,062	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
Molina Healthcare of Washington MCR Adv	Default	$1,320	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
Molina Healthcare of Washington MCR Adv	Default	$53.49	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
Wellcare Health Plan Inc MCR Adv	Medicare Advantage	$1,136	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
Wellcare Health Plan Inc MCR Adv	Medicare Advantage	$1,411	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
Wellcare Health Plan Inc MCR Adv	Medicare Advantage	$57.20	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—

Medicaid managed care 16 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for Arm CT scan without contrast at Cascade Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Cigna	Medicaid Replacement	$1,521	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Cigna	Medicaid Replacement	$1,889	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Cigna	Medicaid Replacement	$300	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Cigna	Medicaid Replacement	$315	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Community Health Plan of WA MCD Rep	Medicaid Replacement	$1,012	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Community Health Plan of WA MCD Rep	Medicaid Replacement	$1,257	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Community Health Plan of WA MCD Rep	Medicaid Replacement	$200	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Community Health Plan of WA MCD Rep	Medicaid Replacement	$210	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Coordinated Care of WA MCD Rep	Default	$1,012	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Coordinated Care of WA MCD Rep	Default	$1,257	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Coordinated Care of WA MCD Rep	Default	$200	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Coordinated Care of WA MCD Rep	Default	$210	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Molina Healthcare of Washington MCD Rep	Default	$1,012	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Molina Healthcare of Washington MCD Rep	Default	$1,257	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Molina Healthcare of Washington MCD Rep	Default	$200	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Molina Healthcare of Washington MCD Rep	Default	$210	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—

Medicaid (state program) 4 prices

Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Medicaid (state program) prices for Arm CT scan without contrast at Cascade Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Medicaid Washington	Default	$972	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Medicaid Washington	Default	$1,207	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Medicaid Washington	Default	$192	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Medicaid Washington	Default	$201	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—

Medicare (traditional) 3 prices

Traditional Medicare. Applies only to people on original Medicare.

Medicare (traditional) prices for Arm CT scan without contrast at Cascade Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Medicare A WA JF	Default	$1,052	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
Medicare A WA JF	Default	$1,307	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
Medicare A WA JF	Default	$52.96	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—

Other government program 6 prices

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for Arm CT scan without contrast at Cascade Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Tricare West	Default	$158	Hospital’s fee	CT upper ext w/o contrast	fee schedule	Inpatient or outpatient	—
Tricare West	Default	$158	Hospital’s fee	CT upper ext w/o contrast LT	fee schedule	Inpatient or outpatient	—
Tricare West	Default	$158	Radiologist’s fee	CT up extrmty w/o cntrst rd	fee schedule	Inpatient or outpatient	—
Washington Department of Labor and Industry	Default	$317	Hospital’s fee	CT upper ext w/o contrast	fee schedule	Inpatient or outpatient	—
Washington Department of Labor and Industry	Default	$317	Hospital’s fee	CT upper ext w/o contrast LT	fee schedule	Inpatient or outpatient	—
Washington Department of Labor and Industry	Default	$317	Radiologist’s fee	CT up extrmty w/o cntrst rd	fee schedule	Inpatient or outpatient	—

Unknown 23 prices

The source file doesn't say which population this rate applies to.

Unknown prices for Arm CT scan without contrast at Cascade Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
Aetna	Default	$1,637	Hospital’s fee	CT upper ext w/o contrast	other	Inpatient or outpatient	—
Aetna	Default	$2,034	Hospital’s fee	CT upper ext w/o contrast LT	other	Inpatient or outpatient	—
Aetna	Default	$323	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
Aetna	Default	$339	Radiologist’s fee	CT up extrmty w/o cntrst rd	other	Inpatient or outpatient	—
Asuris Northwest Health	Default	$1,637	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Asuris Northwest Health	Default	$2,034	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Asuris Northwest Health	Default	$323	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Asuris Northwest Health	Default	$339	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Blue Cross of WA Premera	Default	$1,382	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Blue Cross of WA Premera	Default	$1,718	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Blue Cross of WA Premera	Default	$273	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Blue Cross of WA Premera	Default	$287	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Cigna	Default	$1,521	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Cigna	Default	$1,889	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Cigna	Default	$300	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Cigna	Default	$315	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Community Health Plan of WA	Default	$1,182	Hospital’s fee	CT upper ext w/o contrast	percent of total billed charges	Inpatient or outpatient	—
Community Health Plan of WA	Default	$1,469	Hospital’s fee	CT upper ext w/o contrast LT	percent of total billed charges	Inpatient or outpatient	—
Community Health Plan of WA	Default	$233	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
Community Health Plan of WA	Default	$245	Radiologist’s fee	CT up extrmty w/o cntrst rd	percent of total billed charges	Inpatient or outpatient	—
PacificSource Health Plans	Default	$240	Hospital’s fee	CT upper ext w/o contrast LT	fee schedule	Inpatient or outpatient	—
PacificSource Health Plans	Default	$240	Hospital’s fee	CT upper ext w/o contrast	fee schedule	Inpatient or outpatient	—
PacificSource Health Plans	Default	$240	Radiologist’s fee	CT up extrmty w/o cntrst rd	fee schedule	Inpatient or outpatient	—

Doctors here who do this procedure

No doctor affiliated with Cascade Medical Center billed Traditional Medicare for this often enough for CMS to publish it (11 or more patients a year). That doesn’t mean no one here does it. See all doctors and practices for this procedure.

See a price that looks wrong? Tell us about it.

Cascade Medical Center

What you may pay

Bills to expect

What you’d pay for these bills

How each bill comes to you

1 Hospital's feeSent by the hospital

Get it confirmed before your care

Cascade Medical Center

Cash price 4 prices

List price (before discounts) 4 prices

Commercial insurance 7 prices

Medicare Advantage 22 prices

Medicaid managed care 16 prices

Medicaid (state program) 4 prices

Medicare (traditional) 3 prices

Other government program 6 prices

Unknown 23 prices

Doctors here who do this procedure

Hospital's feeSent by the hospital