CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Astria Sunnyside Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,767
Cash Discount Price: $2,743
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Astria Sunnyside Hospital is $2,767. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,743. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.25x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$2,743

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,767

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,214.42

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,214.42 (100%)

Cash / Self-Pay: $2,743 (124%)

Insurance Median: $2,767 (125%)

Cash: $2,743 (124% of Medicare)

Ins. Median: $2,767 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,214.42 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.

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)	$1,062 - $2,767	48%
Aetna	$1,180 - $4,235	53%
Healthcomp_Ihs	$1,180	53%
Humana	$1,180 - $4,331	53%
Medicaid / KanCare	$1,180 - $1,475	53%
Molina	$1,180	53%
Va	$1,180	53%
Tricare	$1,192	54%
Regence	$2,473	112%
Cigna	$2,887	130%
Li	$2,955	133%
First_Choice	$3,609	163%
Tpsc	$3,753	169%
Kaiser	$3,778	171%
Premera	$3,917	177%
UnitedHealthcare	$4,090	185%
Fhpw	$4,235	191%
Healthcomp	$4,331	196%
Bcchp	$4,812	217%
Great_Rivers	$4,812	217%
Zenith	$4,812	217%

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 $2,743.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59400.

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 59400.
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.