CMS Price Transparency Data

Prosthetic fitting and training

Facility: Arbor Health Morton Hospital

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $78
Cash Discount Price: $104
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Arbor Health Morton Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.93x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $104 (257%)

Insurance Median: $78 (193%)

Cash: $104 (257% of Medicare)

Ins. Median: $78 (193% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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	$72	178%
Kaiser Mcaid	$72	178%
UnitedHealthcare	$72 - $134	178%
Aetna	$77 - $148	191%
Amerigroup Mcr Adv	$77	191%
Amerigroup-All Other Plans	$77	191%
Comm Health Mcr Adv	$77	191%
Healthnet Mcr Adv - All Plans	$77	191%
Humana	$77	191%
Mcr Railroad Mcr Adv - All Plans	$77	191%
Medicare (plans)	$77	191%
Premera Hmo Mcr Adv	$77	191%
Rural Health Mcare - All Plans	$77	191%
Regence Blue Shield Mcr Adv	$78	193%
Molina Mcr Adv	$81	200%
Wellcare Mcr Adv - All Plans	$81	200%
Molina Marketplace-All Other Plans	$99	245%
Regence Blue Shield Ump-All Other Plans	$118	292%
Kaiser Comm-All Other Plans	$132	327%
Molina Mcaid	$139	344%
Comm Health Basic Sub - All Other Plans	$143	354%
Comm Health Pebb	$143	354%
Premera First-All Other Plans	$151	374%
Cigna	$156	386%
First Choice-All Plans	$156	386%

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 $104.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97761.

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 97761.
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.