CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Astria Sunnyside Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,388
Cash Discount Price: $2,839
vs. Medicare Baseline: 6.70x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Astria Sunnyside Hospital is $2,388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,839. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.70x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$2,839

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,388

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $2,839 (797%)

Insurance Median: $2,388 (670%)

Cash: $2,839 (797% of Medicare)

Ins. Median: $2,388 (670% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 670% of the Medicare baseline (a markup of 570%). 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)	$369 - $1,343	104%
Medicaid / KanCare	$887 - $1,629	249%
Aetna	$1,139 - $4,678	320%
Healthcomp_Ihs	$1,139 - $1,304	320%
Humana	$1,139 - $4,784	320%
Molina	$1,139 - $1,304	320%
Va	$1,139 - $1,304	320%
Tricare	$1,151 - $1,317	323%
Regence	$2,388 - $2,732	670%
Cigna	$2,787 - $3,190	782%
Li	$2,852 - $3,264	800%
First_Choice	$3,484 - $3,987	977%
Tpsc	$3,623 - $4,146	1016%
Kaiser	$3,647 - $4,174	1023%
Premera	$3,781 - $4,327	1061%
UnitedHealthcare	$3,948 - $4,519	1108%
Fhpw	$4,088 - $4,678	1147%
Healthcomp	$4,180 - $4,784	1173%
Bcchp	$4,645 - $5,316	1303%
Great_Rivers	$4,645 - $5,316	1303%
Zenith	$4,645 - $5,316	1303%

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 $2,839.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.