CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Arbor Health Morton Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $49
  • Cash Discount Price: $64
  • vs. Medicare Baseline: 5.79x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Arbor Health Morton Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 5.79x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$64

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)
Cash / Self-Pay: $64 (757%)
Insurance Median: $49 (579%)
Cash: $64 (757% of Medicare)
Ins. Median: $49 (579% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.46 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 579% of the Medicare baseline (a markup of 479%). 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 $43 - $46 508%
Kaiser Mcaid $43 - $46 508%
UnitedHealthcare $43 - $85 508%
Aetna $46 - $93 544%
Amerigroup Mcr Adv $46 - $49 544%
Amerigroup-All Other Plans $46 - $48 544%
Comm Health Mcr Adv $46 - $49 544%
Healthnet Mcr Adv - All Plans $46 - $49 544%
Humana $46 - $49 544%
Mcr Railroad Mcr Adv - All Plans $46 - $49 544%
Medicare (plans) $46 - $49 544%
Premera Hmo Mcr Adv $46 - $49 544%
Regence Blue Shield Mcr Adv $46 - $49 544%
Rural Health Mcare - All Plans $46 - $49 544%
Molina Mcr Adv $48 - $51 567%
Wellcare Mcr Adv - All Plans $48 - $51 567%
Molina Marketplace-All Other Plans $59 - $62 697%
Regence Blue Shield Ump-All Other Plans $70 - $74 827%
Kaiser Comm-All Other Plans $78 - $83 922%
Molina Mcaid $83 - $88 981%
Comm Health Basic Sub - All Other Plans $85 - $90 1005%
Comm Health Pebb $85 - $90 1005%
Premera First-All Other Plans $90 - $95 1064%
Cigna $93 - $99 1099%
First Choice-All Plans $93 - $99 1099%

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