CMS Price Transparency Data

Culture, bacterial

Facility: Arbor Health Morton Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $88
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 10.21x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Arbor Health Morton Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 10.21x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)
Cash / Self-Pay: $117 (1357%)
Insurance Median: $88 (1021%)
Cash: $117 (1357% of Medicare)
Ins. Median: $88 (1021% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 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 1021% of the Medicare baseline (a markup of 921%). 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 $49 - $83 568%
Kaiser Mcaid $49 - $83 568%
UnitedHealthcare $49 - $154 568%
Aetna $52 - $169 603%
Amerigroup Mcr Adv $52 - $88 603%
Amerigroup-All Other Plans $52 - $88 603%
Comm Health Mcr Adv $52 - $88 603%
Healthnet Mcr Adv - All Plans $52 - $88 603%
Humana $52 - $88 603%
Mcr Railroad Mcr Adv - All Plans $52 - $88 603%
Medicare (plans) $52 - $88 603%
Premera Hmo Mcr Adv $52 - $88 603%
Regence Blue Shield Mcr Adv $52 - $89 603%
Rural Health Mcare - All Plans $52 - $88 603%
Molina Mcr Adv $55 - $93 638%
Wellcare Mcr Adv - All Plans $55 - $93 638%
Molina Marketplace-All Other Plans $67 - $113 777%
Regence Blue Shield Ump-All Other Plans $79 - $134 916%
Kaiser Comm-All Other Plans $89 - $151 1032%
Molina Mcaid $94 - $159 1090%
Comm Health Basic Sub - All Other Plans $96 - $163 1114%
Comm Health Pebb $96 - $163 1114%
Premera First-All Other Plans $102 - $173 1183%
Cigna $105 - $179 1218%
First Choice-All Plans $105 - $179 1218%

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