CMS Price Transparency Data

X-ray, hip

Facility: Arbor Health Morton Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $243
  • Cash Discount Price: $324
  • vs. Medicare Baseline: 2.73x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Arbor Health Morton Hospital is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $324. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.73x the Medicare baseline. Located in 521 Adams Street, Morton, WA.
Cash / Self-Pay
$324

Average discount available for prompt cash payment at this facility.

Insurance Median
$243

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: $324 (364%)
Insurance Median: $243 (273%)
Cash: $324 (364% of Medicare)
Ins. Median: $243 (273% 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 273% of the Medicare baseline (a markup of 173%). 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 $225 253%
Kaiser Mcaid $225 253%
UnitedHealthcare $225 - $418 253%
Amerigroup-All Other Plans $238 268%
Aetna $241 - $460 271%
Amerigroup Mcr Adv $241 271%
Comm Health Mcr Adv $241 271%
Healthnet Mcr Adv - All Plans $241 271%
Humana $241 271%
Mcr Railroad Mcr Adv - All Plans $241 271%
Medicare (plans) $241 271%
Premera Hmo Mcr Adv $241 271%
Rural Health Mcare - All Plans $241 271%
Regence Blue Shield Mcr Adv $243 273%
Molina Mcr Adv $253 285%
Wellcare Mcr Adv - All Plans $253 285%
Molina Marketplace-All Other Plans $308 346%
Regence Blue Shield Ump-All Other Plans $366 412%
Kaiser Comm-All Other Plans $410 461%
Molina Mcaid $434 488%
Comm Health Basic Sub - All Other Plans $445 501%
Comm Health Pebb $445 501%
Premera First-All Other Plans $471 530%
Cigna $486 547%
First Choice-All Plans $486 547%

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