CMS Price Transparency Data

Blood test, potassium

Facility: Arbor Health Morton Hospital

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $47
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 9.87x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Arbor Health Morton Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 9.87x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $63 (1324%)
Insurance Median: $47 (987%)
Cash: $63 (1324% of Medicare)
Ins. Median: $47 (987% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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 987% of the Medicare baseline (a markup of 887%). 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 $44 924%
Kaiser Mcaid $44 924%
UnitedHealthcare $44 - $82 924%
Amerigroup-All Other Plans $46 966%
Aetna $47 - $90 987%
Amerigroup Mcr Adv $47 987%
Comm Health Mcr Adv $47 987%
Healthnet Mcr Adv - All Plans $47 987%
Humana $47 987%
Mcr Railroad Mcr Adv - All Plans $47 987%
Medicare (plans) $47 987%
Premera Hmo Mcr Adv $47 987%
Regence Blue Shield Mcr Adv $47 987%
Rural Health Mcare - All Plans $47 987%
Molina Mcr Adv $49 1029%
Wellcare Mcr Adv - All Plans $49 1029%
Molina Marketplace-All Other Plans $60 1261%
Regence Blue Shield Ump-All Other Plans $71 1492%
Kaiser Comm-All Other Plans $80 1681%
Molina Mcaid $85 1786%
Comm Health Basic Sub - All Other Plans $87 1828%
Comm Health Pebb $87 1828%
Premera First-All Other Plans $92 1933%
Cigna $95 1996%
First Choice-All Plans $95 1996%

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