CMS Price Transparency Data

Culture, blood

Facility: Alaska Regional Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $132
Cash Discount Price: $386
vs. Medicare Baseline: 12.79x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Alaska Regional Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $386. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 12.79x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$386

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$10.32

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.32 (100%)

Cash / Self-Pay: $386 (3740%)

Insurance Median: $132 (1279%)

Cash: $386 (3740% of Medicare)

Ins. Median: $132 (1279% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.32 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 1279% of the Medicare baseline (a markup of 1179%). 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
Triwest Healthcare Alliance	$10	97%
Veteran'S Administration	$10	97%
United	$11 - $458	107%
Veterans Evaluation Services	$13	126%
Aetna	$45 - $102	436%
Union Coalition	$49 - $179	475%
Union Coalition Cement Masons	$51 - $186	494%
Moda Health	$53 - $285	514%
Premerafirst	$82 - $300	795%
Geha Ppo Usa	$85 - $532	824%
Cigna	$90 - $329	872%
Multiplan	$99 - $564	959%
Coventry Healthcare	$104 - $382	1008%
First Health	$116 - $425	1124%
Bering Strait School District	$124 - $455	1202%
Nreca Group Benefit Trust	$124 - $455	1202%
Risk & Benefit Management	$124 - $455	1202%
Banner Health	$132 - $486	1279%
Matanuska Telephone	$132 - $486	1279%

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 $386.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87040.
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.