CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Astria Sunnyside Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $362
Cash Discount Price: $572
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Astria Sunnyside Hospital is $362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $572. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.39x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$572

Average discount available for prompt cash payment at this facility.

Insurance Median

$362

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: $572 (536%)

Insurance Median: $362 (339%)

Cash: $572 (536% of Medicare)

Ins. Median: $362 (339% 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 339% of the Medicare baseline (a markup of 239%). 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)	$103 - $362	96%
Medicaid / KanCare	$109 - $440	102%
Aetna	$140 - $1,262	131%
Healthcomp_Ihs	$140 - $352	131%
Humana	$140 - $1,291	131%
Molina	$140 - $352	131%
Va	$140 - $352	131%
Tricare	$142 - $355	133%
Regence	$294 - $737	275%
Cigna	$343 - $860	321%
Li	$351 - $880	329%
First_Choice	$429 - $1,076	402%
Tpsc	$446 - $1,119	418%
Kaiser	$449 - $1,126	420%
Premera	$466 - $1,167	436%
UnitedHealthcare	$486 - $1,219	455%
Fhpw	$503 - $1,262	471%
Healthcomp	$515 - $1,291	482%
Bcchp	$572 - $1,434	536%
Great_Rivers	$572 - $1,434	536%
Zenith	$572 - $1,434	536%

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 $572.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.