CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Arbor Health Morton Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $52
Cash Discount Price: $69
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Arbor Health Morton Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.54x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$69

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $69 (205%)

Insurance Median: $52 (154%)

Cash: $69 (205% of Medicare)

Ins. Median: $52 (154% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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.

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	$48	142%
Kaiser Mcaid	$48	142%
UnitedHealthcare	$48 - $89	142%
Aetna	$51 - $98	151%
Amerigroup Mcr Adv	$51	151%
Amerigroup-All Other Plans	$51	151%
Comm Health Mcr Adv	$51	151%
Healthnet Mcr Adv - All Plans	$51	151%
Humana	$51	151%
Mcr Railroad Mcr Adv - All Plans	$51	151%
Medicare (plans)	$51	151%
Premera Hmo Mcr Adv	$51	151%
Rural Health Mcare - All Plans	$51	151%
Regence Blue Shield Mcr Adv	$52	154%
Molina Mcr Adv	$54	160%
Wellcare Mcr Adv - All Plans	$54	160%
Molina Marketplace-All Other Plans	$65	193%
Regence Blue Shield Ump-All Other Plans	$78	231%
Kaiser Comm-All Other Plans	$87	258%
Molina Mcaid	$92	273%
Comm Health Basic Sub - All Other Plans	$94	279%
Comm Health Pebb	$94	279%
Premera First-All Other Plans	$100	296%
Cigna	$103	305%
First Choice-All Plans	$103	305%

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 $69.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

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 97750.
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.