CMS Price Transparency Data

X-ray, foot

Facility: Astria Sunnyside Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $777
Cash Discount Price: $1,149
vs. Medicare Baseline: 8.74x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Astria Sunnyside Hospital is $777. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,149. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.74x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$1,149

Average discount available for prompt cash payment at this facility.

Insurance Median

$777

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: $1,149 (1292%)

Insurance Median: $777 (874%)

Cash: $1,149 (1292% of Medicare)

Ins. Median: $777 (874% 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 874% of the Medicare baseline (a markup of 774%). 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)	$41 - $637	46%
Medicaid / KanCare	$289 - $773	325%
Aetna	$371 - $2,219	417%
Healthcomp_Ihs	$371 - $619	417%
Humana	$371 - $2,270	417%
Molina	$371 - $619	417%
Va	$371 - $619	417%
Tricare	$374 - $625	421%
Regence	$777 - $1,296	874%
Cigna	$907 - $1,513	1020%
Li	$928 - $1,549	1044%
First_Choice	$1,133 - $1,892	1274%
Tpsc	$1,179 - $1,967	1326%
Kaiser	$1,186 - $1,980	1334%
Premera	$1,230 - $2,053	1383%
UnitedHealthcare	$1,284 - $2,144	1444%
Fhpw	$1,330 - $2,219	1496%
Healthcomp	$1,360 - $2,270	1530%
Bcchp	$1,511 - $2,522	1699%
Great_Rivers	$1,511 - $2,522	1699%
Zenith	$1,511 - $2,522	1699%

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 $1,149.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.