CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Arbor Health Morton Hospital

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $70
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 7.21x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Arbor Health Morton Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 7.21x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $94 (968%)
Insurance Median: $70 (721%)
Cash: $94 (968% of Medicare)
Ins. Median: $70 (721% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 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 721% of the Medicare baseline (a markup of 621%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Comm Health Healthy Options $19 - $66 196%
Kaiser Mcaid $19 - $66 196%
UnitedHealthcare $19 - $123 196%
Aetna $21 - $136 216%
Amerigroup Mcr Adv $21 - $71 216%
Amerigroup-All Other Plans $21 - $70 216%
Comm Health Mcr Adv $21 - $71 216%
Healthnet Mcr Adv - All Plans $21 - $71 216%
Humana $21 - $71 216%
Mcr Railroad Mcr Adv - All Plans $21 - $71 216%
Medicare (plans) $21 - $71 216%
Premera Hmo Mcr Adv $21 - $71 216%
Regence Blue Shield Mcr Adv $21 - $72 216%
Rural Health Mcare - All Plans $21 - $71 216%
Molina Mcr Adv $22 - $74 227%
Wellcare Mcr Adv - All Plans $22 - $74 227%
Molina Marketplace-All Other Plans $26 - $91 268%
Regence Blue Shield Ump-All Other Plans $32 - $108 330%
Kaiser Comm-All Other Plans $35 - $121 360%
Molina Mcaid $37 - $128 381%
Comm Health Basic Sub - All Other Plans $38 - $131 391%
Comm Health Pebb $38 - $131 391%
Premera First-All Other Plans $40 - $139 412%
Cigna $42 - $143 433%
First Choice-All Plans $42 - $143 433%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 521 Adams Street, Morton, WA 98356
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals