CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Astria Sunnyside Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,781
Cash Discount Price: $1,975
vs. Medicare Baseline: 16.67x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Astria Sunnyside Hospital is $1,781. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,975. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.67x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$1,975

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,781

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,975 (1849%)

Insurance Median: $1,781 (1667%)

Cash: $1,975 (1849% of Medicare)

Ins. Median: $1,781 (1667% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1667% of the Medicare baseline (a markup of 1567%). 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)	$161 - $934	151%
Medicaid / KanCare	$617 - $1,133	578%
Aetna	$792 - $3,254	742%
Healthcomp_Ihs	$792 - $907	742%
Humana	$792 - $3,328	742%
Molina	$792 - $907	742%
Va	$792 - $907	742%
Tricare	$800 - $916	749%
Regence	$1,661 - $1,901	1555%
Cigna	$1,939 - $2,219	1815%
Li	$1,984 - $2,271	1858%
First_Choice	$2,423 - $2,774	2269%
Tpsc	$2,520 - $2,884	2359%
Kaiser	$2,537 - $2,904	2375%
Premera	$2,630 - $3,010	2462%
UnitedHealthcare	$2,746 - $3,143	2571%
Fhpw	$2,843 - $3,254	2662%
Healthcomp	$2,908 - $3,328	2723%
Bcchp	$3,231 - $3,698	3025%
Great_Rivers	$3,231 - $3,698	3025%
Zenith	$3,231 - $3,698	3025%

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 $1,975.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

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 71250.
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.