CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Astria Sunnyside Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,268
Cash Discount Price: $1,762
vs. Medicare Baseline: 7.08x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Astria Sunnyside Hospital is $1,268. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,762. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.08x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$1,762

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,268

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: $1,762 (983%)

Insurance Median: $1,268 (708%)

Cash: $1,762 (983% of Medicare)

Ins. Median: $1,268 (708% 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 708% of the Medicare baseline (a markup of 608%). 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)	$179 - $781	100%
Medicaid / KanCare	$591 - $947	330%
Aetna	$758 - $2,720	423%
Healthcomp_Ihs	$758	423%
Humana	$758 - $2,782	423%
Molina	$758	423%
Va	$758	423%
Tricare	$766	427%
Regence	$1,589	887%
Cigna	$1,855	1035%
Li	$1,898	1059%
First_Choice	$2,318	1294%
Tpsc	$2,411	1345%
Kaiser	$2,427	1354%
Premera	$2,516	1404%
UnitedHealthcare	$2,627	1466%
Fhpw	$2,720	1518%
Healthcomp	$2,782	1552%
Bcchp	$3,091	1725%
Great_Rivers	$3,091	1725%
Zenith	$3,091	1725%

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 $1,762.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.