CMS Price Transparency Data

Blood test, liver function panel

Facility: Arbor Health Morton Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $63
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 7.71x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Arbor Health Morton Hospital is $63. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 7.71x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$63

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $84 (1028%)
Insurance Median: $63 (771%)
Cash: $84 (1028% of Medicare)
Ins. Median: $63 (771% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 771% of the Medicare baseline (a markup of 671%). 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 $58 710%
Kaiser Mcaid $58 710%
UnitedHealthcare $58 - $108 710%
Aetna $62 - $119 759%
Amerigroup Mcr Adv $62 759%
Amerigroup-All Other Plans $62 759%
Comm Health Mcr Adv $62 759%
Healthnet Mcr Adv - All Plans $62 759%
Humana $62 759%
Mcr Railroad Mcr Adv - All Plans $62 759%
Medicare (plans) $62 759%
Premera Hmo Mcr Adv $62 759%
Rural Health Mcare - All Plans $62 759%
Regence Blue Shield Mcr Adv $63 771%
Molina Mcr Adv $65 796%
Wellcare Mcr Adv - All Plans $65 796%
Molina Marketplace-All Other Plans $79 967%
Regence Blue Shield Ump-All Other Plans $94 1151%
Kaiser Comm-All Other Plans $106 1297%
Molina Mcaid $112 1371%
Comm Health Basic Sub - All Other Plans $115 1408%
Comm Health Pebb $115 1408%
Premera First-All Other Plans $122 1493%
Cigna $126 1542%
First Choice-All Plans $126 1542%

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