CMS Price Transparency Data

CT scan, pelvis

Facility: Arbor Health Morton Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,187
Cash Discount Price: $1,583
vs. Medicare Baseline: 11.11x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Arbor Health Morton Hospital is $1,187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,583. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.11x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$1,583

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,187

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,583 (1482%)

Insurance Median: $1,187 (1111%)

Cash: $1,583 (1482% of Medicare)

Ins. Median: $1,187 (1111% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1111% of the Medicare baseline (a markup of 1011%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Comm Health Healthy Options	$1,098	1028%
Kaiser Mcaid	$1,098	1028%
UnitedHealthcare	$1,098 - $2,043	1028%
Amerigroup-All Other Plans	$1,164	1090%
Aetna	$1,175 - $2,248	1100%
Amerigroup Mcr Adv	$1,175	1100%
Comm Health Mcr Adv	$1,175	1100%
Healthnet Mcr Adv - All Plans	$1,175	1100%
Humana	$1,175	1100%
Mcr Railroad Mcr Adv - All Plans	$1,175	1100%
Medicare (plans)	$1,175	1100%
Premera Hmo Mcr Adv	$1,175	1100%
Rural Health Mcare - All Plans	$1,175	1100%
Regence Blue Shield Mcr Adv	$1,187	1111%
Molina Mcr Adv	$1,234	1155%
Wellcare Mcr Adv - All Plans	$1,234	1155%
Molina Marketplace-All Other Plans	$1,504	1408%
Regence Blue Shield Ump-All Other Plans	$1,788	1674%
Kaiser Comm-All Other Plans	$2,004	1876%
Molina Mcaid	$2,120	1985%
Comm Health Basic Sub - All Other Plans	$2,171	2033%
Comm Health Pebb	$2,171	2033%
Premera First-All Other Plans	$2,299	2152%
Cigna	$2,375	2224%
First Choice-All Plans	$2,375	2224%

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 $1,583.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Arbor Health Morton Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
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.