CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Astria Sunnyside Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,422
Cash Discount Price: $1,975
vs. Medicare Baseline: 7.94x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Astria Sunnyside Hospital is $1,422. 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 $179.2, this hospital’s rate is 7.94x 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

$1,422

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $1,975 (1102%)

Insurance Median: $1,422 (794%)

Cash: $1,975 (1102% of Medicare)

Ins. Median: $1,422 (794% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 794% of the Medicare baseline (a markup of 694%). 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)	$210 - $875	117%
Medicaid / KanCare	$662 - $1,062	369%
Aetna	$850 - $3,049	474%
Healthcomp_Ihs	$850	474%
Humana	$850 - $3,118	474%
Molina	$850	474%
Va	$850	474%
Tricare	$858	479%
Regence	$1,781	994%
Cigna	$2,079	1160%
Li	$2,128	1188%
First_Choice	$2,599	1450%
Tpsc	$2,703	1508%
Kaiser	$2,721	1518%
Premera	$2,821	1574%
UnitedHealthcare	$2,945	1643%
Fhpw	$3,049	1701%
Healthcomp	$3,118	1740%
Bcchp	$3,465	1934%
Great_Rivers	$3,465	1934%
Zenith	$3,465	1934%

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: 70470.

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 70470.
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.