CMS Price Transparency Data

Culture, blood

Facility: University of Alabama Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $102
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 9.88x Medicare
The contracted insurance negotiated median rate for a Culture, blood at University of Alabama Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 9.88x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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%)
Insurance Median: $102 (988%)
Ins. Median: $102 (988% 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 988% of the Medicare baseline (a markup of 888%). 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
Humana $9 - $197 87%
Birmingham Fc $10 97%
Blue Cross Blue Shield $10 97%
Cooper Green $10 97%
Davita Villagehealth $10 97%
Jefferson County Sheriff $10 97%
Triwest $10 97%
UnitedHealthcare $10 - $126 97%
Viva $10 - $11 97%
Cigna $11 - $155 107%
Ambetter / Centene $14 136%
University Of Alabama $28 - $116 271%
Aetna $35 - $142 339%
Coventry $37 - $187 359%
North Alabama Managed Care $37 - $151 359%
Comp One $41 - $167 397%
Alamed $43 - $174 417%
Construction Claims Management $43 - $174 417%
Corvel $46 - $186 446%
Evolutions $46 - $209 446%
Healthcare Alliance $46 - $186 446%
Novanet $46 - $209 446%
Prime Health Services $46 - $209 446%
Select Value Care $46 - $186 446%
Starcare $46 - $186 446%
Tethys $46 - $186 446%
Multiplan $47 - $190 455%
Department Of Labor $48 - $197 465%
Geha $48 - $197 465%
Gulf Health Plans $48 - $197 465%
Heritage Summit Health $48 - $197 465%
Mississippi Physicians $48 - $197 465%
Phifer $48 - $197 465%
Preferred Health Partnership $48 - $197 465%
Southern Nuclear $48 - $197 465%
Vantage Health Plan $48 - $197 465%
Galaxy Health Network $51 - $209 494%
National Provider Network $51 - $209 494%
North Mississippi Health Link $51 - $209 494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals