How many shoppable procedure prices are published for Astria Sunnyside Hospital?

Astria Sunnyside Hospital in Sunnyside, WA currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Astria Sunnyside Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Astria Sunnyside Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Astria Sunnyside Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Astria Sunnyside Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 4/1/2026

Astria Sunnyside Hospital

1016 Tacoma Avenue, Sunnyside, WA 98944 · 96 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

0.96×vs. Fair Market Price

Typical commercial prices here are 4% below the fair benchmark (0.96×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Self-Pay Cash Beats Insurance 78% of the Time

File Completeness95

Price Logic90

Peer Alignment54

Clean Billing87

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 0.96× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Astria Sunnyside Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.96× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#14 of 58 in WA · 22nd State Percentile#1,084 of 3,385 in U.S. · 31st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 4% below peer Fair BaseRate (0.96×)
Self-pay cash beats commercial insurance on 78% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 67% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.96× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.96× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 7,568) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+1% Upper Tail

Q25 0.94× · Q50 0.96× · Q75 0.97×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.3× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

78% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 66/100Fair

Procedure Prices at Astria Sunnyside Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sleep study (overnight, in lab) CPT Code: `95810`	$8,514	$8,514	$1,021	8.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,839	$2,839	$448	6.3×
Vaginal delivery (full package) CPT Code: `59400`	$2,743	$2,743	$2,680	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,561	$2,561	$369	6.9×
Colonoscopy with biopsy CPT Code: `45380`	$2,243	$2,243	$1,256	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,072	$2,072	$303	6.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,020	$2,020	$168	12.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,975	$1,975	$167	11.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,975	$1,975	$258	7.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,892	$1,892	$987	1.9×
CT scan, pelvis CPT Code: `72192`	$1,817	$1,817	$163	11.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,762	$1,762	$242	7.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,734	$1,734	$338	5.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,734	$1,734	$343	5.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,716	$1,716	$981	1.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,675	$1,675	$160	10.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,675	$1,675	$169	9.9×
CT scan, sinuses CPT Code: `70486`	$1,458	$1,458	$166	8.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,469	$1,469	$583	2.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,342	$1,342	$511	2.6×
X-ray, hand CPT Code: `73130`	$1,180	$1,180	$93	12.7×
X-ray, ankle CPT Code: `73610`	$1,180	$1,180	$93	12.7×
X-ray, foot CPT Code: `73630`	$1,149	$1,149	$92	12.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,016	$1,016	$272	3.7×
Blood transfusion CPT Code: `36430`	$902	$902	$498	1.8×
Ultrasound, pelvis CPT Code: `76856`	$817	$817	$130	6.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$817	$817	$132	6.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$801	$801	$148	5.4×
X-ray, lower back CPT Code: `72110`	$682	$682	$112	6.1×
Screening mammogram (both breasts) CPT Code: `77067`	$639	$639	$123	5.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$572	$572	$126	4.5×
X-ray, hip CPT Code: `73502`	$504	$504	$93	5.4×
X-ray, shoulder CPT Code: `73030`	$465	$465	$92	5.1×
X-ray, chest (two views) CPT Code: `71046`	$465	$465	$93	5.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$465	$465	$93	5.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$413	$413	$134	3.1×
Speech therapy (language evaluation) CPT Code: `92507`	$381	$381	$86	4.4×
Psychological testing evaluation CPT Code: `96136`	$307	$307	$128	2.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$278	$278	$64	4.3×
X-ray, chest (single view) CPT Code: `71045`	$278	$278	$92	3.0×
X-ray, pelvis CPT Code: `72170`	$280	$280	$110	2.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$172	$172	$38	4.5×
Rabies immune globulin HCPCS Code: `90375`	$190	$190	$322	0.6×
Speech therapy (group session) CPT Code: `92508`	$144	$144	$27	5.3×
Orthotic fitting and training CPT Code: `97760`	$161	$161	$51	3.2×
Physical therapy (gait training) CPT Code: `97116`	$131	$131	$33	4.0×
Physical therapy (manual therapy) CPT Code: `97140`	$128	$128	$34	3.8×
Occupational therapy (self-care training) CPT Code: `97535`	$143	$143	$38	3.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$131	$131	$35	3.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$137	$137	$38	3.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$131	$131	$40	3.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$154	$154	$201	0.8×
Prosthetic fitting and training CPT Code: `97761`	$126	$126	$45	2.8×
New patient office visit (30-44 min) CPT Code: `99203`	$146	$146	$110	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$140	$140	$123	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$95	$95	$151	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$180	$180	$111	1.6×
Typhoid vaccine HCPCS Code: `90675`	$169	$169	$347	0.5×
Pneumococcal vaccine HCPCS Code: `90732`	$125	$125	$140	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$109	$109	$203	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$75	$75	$56	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$71	$71	$87	0.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$64	$64	$181	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$149	$11	$11	1.0×
Blood test, vitamin D CPT Code: `82306`	$137	$30	$31	1.0×
Family therapy session CPT Code: `90847`	$54	$54	$173	0.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$44	$44	$166	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$48	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$83	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$79	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$81	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$80	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$119	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$107	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$93	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$79	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$79	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$79	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$106	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$78	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$254	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$184	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$42	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$68	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$99	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$166	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$123	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$190	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$168	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$58	$6	$7	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$21	$21	$25	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$96	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$39	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$21	$21	$39	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	$16	$16	$37	0.4×
Blood antibody screen CPT Code: `86850`	$115	$10	$46	0.2×

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 29.9%

Audit a Bill or Quote at Astria Sunnyside Hospital (Zero PHI Required)

CMS CCN: 501330

CPT 95810

Select Procedure to Audit:

Fair BaseRate™ $1,021

Medicare Rate $877

Self-Pay Cash $8,514

Insurer Median $8,514

1. Amount on Your Bill or Quote ($) Pre-filled with Astria Sunnyside Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $4,463 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $4,463

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.9% of gross = $4,463).

Step 2 · Cash vs. Insurance Arbitrage Save $6,422 Paying Cash

Self-Pay Cash Rate ($8,514) Beats Your Bill

Astria Sunnyside Hospital's published 45 CFR § 180 self-pay cash rate is $8,514 (vs. $8,514 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$13,915 Above Fair BaseRate

Negotiate Toward $1,021 Fair BaseRate ($877 Medicare)

Your bill ($14,936) is $13,915 above the denoised Fair BaseRate ($1,021) and 17.0× the $877 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 911256274

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (29.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait122 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Astria Sunnyside Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-22·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (171 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Astria Sunnyside Hospital.

Price Index: 1.31× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

-42.9%

Median Household Income$68,015U.S. Census ACS

Local Uninsured Share13.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 86/100 · Verified CMS CCN 501330 EIN 911256274

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 501330) ↗ Verify IRS Form 990 (EIN 911256274) ↗ CMS HCRIS Cost Reports ↗

Published MRF File911256274_astria-sunnyside-hospital_standardcharges.csv

Publication / Vintage4/1/2026 · 93.13 MB

Validated Rate Rows4,946 (CMS v3.0.0)

File Integrity Digest8d634a13077e4cfdb51a…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy