CMS Price Transparency Data

X-ray, chest (single view)

Facility: Astria Sunnyside Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $239
Cash Discount Price: $278
vs. Medicare Baseline: 2.69x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Astria Sunnyside Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.69x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$278

Average discount available for prompt cash payment at this facility.

Insurance Median

$239

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $278 (313%)

Insurance Median: $239 (269%)

Cash: $278 (313% of Medicare)

Ins. Median: $239 (269% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 269% of the Medicare baseline (a markup of 169%). 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)	$30 - $129	34%
Medicaid / KanCare	$89 - $156	100%
Aetna	$114 - $449	128%
Healthcomp_Ihs	$114 - $125	128%
Humana	$114 - $459	128%
Molina	$114 - $125	128%
Va	$114 - $125	128%
Tricare	$115 - $126	129%
Regence	$239 - $262	269%
Cigna	$279 - $306	314%
Li	$286 - $313	322%
First_Choice	$349 - $382	393%
Tpsc	$363 - $398	408%
Kaiser	$365 - $400	411%
Premera	$379 - $415	426%
UnitedHealthcare	$395 - $434	444%
Fhpw	$409 - $449	460%
Healthcomp	$418 - $459	470%
Bcchp	$465 - $510	523%
Great_Rivers	$465 - $510	523%
Zenith	$465 - $510	523%

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 $278.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

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 71045.
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.