CMS Price Transparency Data

Hospital observation (per hour)

Facility: Astria Sunnyside Hospital

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $444
Cash Discount Price: $492
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Astria Sunnyside Hospital is $444. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $492. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$492

Average discount available for prompt cash payment at this facility.

Insurance Median

$444

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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)	$191 - $268	N/A
Medicaid / KanCare	$212 - $265	N/A
VA	$212	N/A
Humana	$212 - $778	N/A
Healthcomp_Ihs	$212	N/A
Molina	$212	N/A
Aetna	$212 - $760	N/A
Tricare	$214	N/A
Regence	$444	N/A
Cigna	$518	N/A
Li	$530	N/A
First_Choice	$648	N/A
Tpsc	$674	N/A
Kaiser	$678	N/A
Premera	$703	N/A
UnitedHealthcare	$734	N/A
Fhpw	$760	N/A
Healthcomp	$778	N/A
Zenith	$864	N/A
Great_Rivers	$864	N/A
Bcchp	$864	N/A

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 $492.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 HCPCS code G0378.
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.