CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Arbor Health Morton Hospital

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $884
  • Cash Discount Price: $1,179
  • vs. Medicare Baseline: 3.63x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Arbor Health Morton Hospital is $884. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,179. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.63x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$1,179

Average discount available for prompt cash payment at this facility.

Insurance Median
$884

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: $1,179 (484%)
Insurance Median: $884 (363%)
Cash: $1,179 (484% of Medicare)
Ins. Median: $884 (363% 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 363% of the Medicare baseline (a markup of 263%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $818 336%
Kaiser Mcaid $818 336%
UnitedHealthcare $818 - $1,522 336%
Amerigroup-All Other Plans $867 356%
Aetna $875 - $1,674 359%
Amerigroup Mcr Adv $875 359%
Comm Health Mcr Adv $875 359%
Healthnet Mcr Adv - All Plans $875 359%
Humana $875 359%
Mcr Railroad Mcr Adv - All Plans $875 359%
Medicare (plans) $875 359%
Premera Hmo Mcr Adv $875 359%
Rural Health Mcare - All Plans $875 359%
Regence Blue Shield Mcr Adv $884 363%
Molina Mcr Adv $919 377%
Wellcare Mcr Adv - All Plans $919 377%
Molina Marketplace-All Other Plans $1,120 459%
Regence Blue Shield Ump-All Other Plans $1,331 546%
Kaiser Comm-All Other Plans $1,493 612%
Molina Mcaid $1,579 648%
Comm Health Basic Sub - All Other Plans $1,617 663%
Comm Health Pebb $1,617 663%
Premera First-All Other Plans $1,712 702%
Cigna $1,769 726%
First Choice-All Plans $1,769 726%

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