CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Arbor Health Morton Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $433
Cash Discount Price: $578
vs. Medicare Baseline: 4.05x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Arbor Health Morton Hospital is $433. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $578. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.05x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$578

Average discount available for prompt cash payment at this facility.

Insurance Median

$433

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $578 (541%)

Insurance Median: $433 (405%)

Cash: $578 (541% of Medicare)

Ins. Median: $433 (405% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 405% of the Medicare baseline (a markup of 305%). 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	$401	375%
Kaiser Mcaid	$401	375%
UnitedHealthcare	$401 - $746	375%
Amerigroup-All Other Plans	$425	398%
Aetna	$429 - $821	402%
Amerigroup Mcr Adv	$429	402%
Comm Health Mcr Adv	$429	402%
Healthnet Mcr Adv - All Plans	$429	402%
Humana	$429	402%
Mcr Railroad Mcr Adv - All Plans	$429	402%
Medicare (plans)	$429	402%
Premera Hmo Mcr Adv	$429	402%
Rural Health Mcare - All Plans	$429	402%
Regence Blue Shield Mcr Adv	$433	405%
Molina Mcr Adv	$451	422%
Wellcare Mcr Adv - All Plans	$451	422%
Molina Marketplace-All Other Plans	$549	514%
Regence Blue Shield Ump-All Other Plans	$653	611%
Kaiser Comm-All Other Plans	$732	685%
Molina Mcaid	$774	725%
Comm Health Basic Sub - All Other Plans	$793	742%
Comm Health Pebb	$793	742%
Premera First-All Other Plans	$840	786%
Cigna	$868	813%
First Choice-All Plans	$868	813%

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 $578.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.