CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Arbor Health Morton Hospital

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $147
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Arbor Health Morton Hospital is $147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.81x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$147

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $197 (109%)
Insurance Median: $147 (81%)
Cash: $197 (109% of Medicare)
Ins. Median: $147 (81% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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.

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 $136 75%
Kaiser Mcaid $136 75%
Amerigroup-All Other Plans $145 80%
Aetna $146 - $279 81%
Amerigroup Mcr Adv $146 81%
Comm Health Mcr Adv $146 81%
Healthnet Mcr Adv - All Plans $146 81%
Humana $146 81%
Mcr Railroad Mcr Adv - All Plans $146 81%
Medicare (plans) $146 81%
Premera Hmo Mcr Adv $146 81%
Rural Health Mcare - All Plans $146 81%
Regence Blue Shield Mcr Adv $147 81%
Molina Mcr Adv $153 84%
Wellcare Mcr Adv - All Plans $153 84%
Molina Marketplace-All Other Plans $187 103%
Regence Blue Shield Ump-All Other Plans $222 122%
Kaiser Comm-All Other Plans $249 137%
Molina Mcaid $263 145%
Comm Health Basic Sub - All Other Plans $269 148%
Comm Health Pebb $269 148%
Premera First-All Other Plans $285 157%
Cigna $295 163%
First Choice-All Plans $295 163%

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