CMS Price Transparency Data

X-ray, ankle

Facility: Arbor Health Morton Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $345
  • Cash Discount Price: $387
  • vs. Medicare Baseline: 3.88x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Arbor Health Morton Hospital is $345. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.88x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$387

Average discount available for prompt cash payment at this facility.

Insurance Median
$345

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $387 (435%)
Insurance Median: $345 (388%)
Cash: $387 (435% of Medicare)
Ins. Median: $345 (388% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 388% of the Medicare baseline (a markup of 288%). 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 $215 - $322 242%
Kaiser Mcaid $215 - $322 242%
UnitedHealthcare $215 - $599 242%
Amerigroup-All Other Plans $227 - $341 255%
Aetna $230 - $659 259%
Amerigroup Mcr Adv $230 - $345 259%
Comm Health Mcr Adv $230 - $345 259%
Healthnet Mcr Adv - All Plans $230 - $345 259%
Humana $230 - $345 259%
Mcr Railroad Mcr Adv - All Plans $230 - $345 259%
Medicare (plans) $230 - $345 259%
Premera Hmo Mcr Adv $230 - $345 259%
Rural Health Mcare - All Plans $230 - $345 259%
Regence Blue Shield Mcr Adv $232 - $348 261%
Molina Mcr Adv $241 - $362 271%
Wellcare Mcr Adv - All Plans $241 - $362 271%
Molina Marketplace-All Other Plans $294 - $441 331%
Regence Blue Shield Ump-All Other Plans $349 - $524 393%
Kaiser Comm-All Other Plans $392 - $588 441%
Molina Mcaid $414 - $622 466%
Comm Health Basic Sub - All Other Plans $424 - $637 477%
Comm Health Pebb $424 - $637 477%
Premera First-All Other Plans $449 - $674 505%
Cigna $464 - $697 522%
First Choice-All Plans $464 - $697 522%

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