CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Arbor Health Morton Hospital

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $857
Cash Discount Price: $1,144
vs. Medicare Baseline: 3.52x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Arbor Health Morton Hospital is $857. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,144. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.52x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$1,144

Average discount available for prompt cash payment at this facility.

Insurance Median

$857

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,144 (469%)

Insurance Median: $857 (352%)

Cash: $1,144 (469% of Medicare)

Ins. Median: $857 (352% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 352% of the Medicare baseline (a markup of 252%). 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	$794	326%
Kaiser Mcaid	$794	326%
UnitedHealthcare	$794 - $1,476	326%
Amerigroup-All Other Plans	$841	345%
Aetna	$849 - $1,624	348%
Amerigroup Mcr Adv	$849	348%
Comm Health Mcr Adv	$849	348%
Healthnet Mcr Adv - All Plans	$849	348%
Humana	$849	348%
Mcr Railroad Mcr Adv - All Plans	$849	348%
Medicare (plans)	$849	348%
Premera Hmo Mcr Adv	$849	348%
Rural Health Mcare - All Plans	$849	348%
Regence Blue Shield Mcr Adv	$857	352%
Molina Mcr Adv	$891	366%
Wellcare Mcr Adv - All Plans	$891	366%
Molina Marketplace-All Other Plans	$1,086	446%
Regence Blue Shield Ump-All Other Plans	$1,292	530%
Kaiser Comm-All Other Plans	$1,448	594%
Molina Mcaid	$1,532	628%
Comm Health Basic Sub - All Other Plans	$1,568	643%
Comm Health Pebb	$1,568	643%
Premera First-All Other Plans	$1,660	681%
Cigna	$1,716	704%
First Choice-All Plans	$1,716	704%

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 $1,144.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

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 70551.
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.