CMS Price Transparency Data

X-ray, chest (two views)

Facility: Astria Sunnyside Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $328
Cash Discount Price: $465
vs. Medicare Baseline: 3.69x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Astria Sunnyside Hospital is $328. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $465. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.69x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$465

Average discount available for prompt cash payment at this facility.

Insurance Median

$328

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: $465 (523%)

Insurance Median: $328 (369%)

Cash: $465 (523% of Medicare)

Ins. Median: $328 (369% 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 369% of the Medicare baseline (a markup of 269%). 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)	$40 - $251	45%
Medicaid / KanCare	$122 - $304	137%
Aetna	$157 - $873	177%
Healthcomp_Ihs	$157 - $243	177%
Humana	$157 - $893	177%
Molina	$157 - $243	177%
Va	$157 - $243	177%
Tricare	$158 - $246	178%
Regence	$328 - $510	369%
Cigna	$383 - $595	431%
Li	$392 - $609	441%
First_Choice	$479 - $744	539%
Tpsc	$498 - $774	560%
Kaiser	$502 - $779	565%
Premera	$520 - $807	585%
UnitedHealthcare	$543 - $843	611%
Fhpw	$562 - $873	632%
Healthcomp	$575 - $893	647%
Bcchp	$639 - $992	719%
Great_Rivers	$639 - $992	719%
Zenith	$639 - $992	719%

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 $465.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

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 71046.
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.