CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Astria Sunnyside Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,742
Cash Discount Price: $2,072
vs. Medicare Baseline: 7.15x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Astria Sunnyside Hospital is $1,742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,072. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 7.15x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$2,072

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,742

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,072 (850%)

Insurance Median: $1,742 (715%)

Cash: $2,072 (850% of Medicare)

Ins. Median: $1,742 (715% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 715% of the Medicare baseline (a markup of 615%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicare (plans)	$221 - $980	91%
Medicaid / KanCare	$648 - $1,189	266%
Aetna	$831 - $3,414	341%
Healthcomp_Ihs	$831 - $951	341%
Humana	$831 - $3,491	341%
Molina	$831 - $951	341%
Va	$831 - $951	341%
Tricare	$840 - $961	345%
Regence	$1,742 - $1,994	715%
Cigna	$2,034 - $2,327	834%
Li	$2,081 - $2,382	854%
First_Choice	$2,542 - $2,909	1043%
Tpsc	$2,644 - $3,026	1085%
Kaiser	$2,662 - $3,046	1092%
Premera	$2,759 - $3,158	1132%
UnitedHealthcare	$2,882 - $3,297	1182%
Fhpw	$2,983 - $3,414	1224%
Healthcomp	$3,051 - $3,491	1252%
Bcchp	$3,390 - $3,879	1391%
Great_Rivers	$3,390 - $3,879	1391%
Zenith	$3,390 - $3,879	1391%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,072.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Astria Sunnyside Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.