CMS Price Transparency Data

Culture, blood

Facility: Mercy Hospital Paris

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $46
Cash Discount Price: $101
vs. Medicare Baseline: 4.46x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Mercy Hospital Paris is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 4.46x the Medicare baseline. Located in 500 East Academy, Paris, AR.

Cash / Self-Pay

$101

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $101 (979%)

Insurance Median: $46 (446%)

Cash: $101 (979% of Medicare)

Ins. Median: $46 (446% 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 446% of the Medicare baseline (a markup of 346%). 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
Medicaid / KanCare	$9 - $61	87%
United Medical Resources Contracted [320454]	$10	97%
UnitedHealthcare	$10 - $44	97%
Summit Community Care Contracted [320368]	$15	145%
Summit Community Care [20368]	$15	145%
Blue Cross Blue Shield	$16 - $44	155%
Usable Contracted [320409]	$16	155%
Novasys Contracted [320285]	$25 - $61	242%
Arkansas Total Care Contracted [320039]	$33	320%
Arkansas Total Care [20039]	$33	320%
Aetna	$44 - $101	426%
American Health Advantage Of Mo Mcr [20264]	$44	426%
Cherokee Nation Health Serv Contracted [320066]	$44	426%
Cross Timbers Hospice [20098]	$44	426%
Dept Of Veteran Affairs Contracted [320106]	$44	426%
Elara Caring Aspire Hospice Contracted [320433]	$44	426%
Elara Caring Aspire Hospice [20433]	$44	426%
Globalhealth Contracted [320145]	$44	426%
Halo Hcr Inc Hospice Contracted [320432]	$44	426%
Halo Hcr Inc Hospice [20432]	$44	426%
Humana	$44 - $132	426%
Indian Health Service Contracted [320198]	$44	426%
Indian Health Service [20198]	$44	426%
Jordan Valley Senior Care Pace [20515]	$44	426%
Kindful Hospice Contracted [320434]	$44	426%
Kindful Hospice [20434]	$44	426%
Medicare (plans)	$44 - $46	426%
Mercy Hospice Okc [20252]	$44	426%
Pace Of The Ozarks [20518]	$44	426%
Provider Partners Health Plans Contracted [320450]	$44	426%
Qual Choice Contracted [320325]	$44	426%
Spina Bifida Hlthcare Benefit [20506]	$44	426%
Tricare	$44	426%
Valir Pace [20503]	$44	426%
Qual Choice Contracted [320324]	$45	436%
Cigna	$46 - $132	446%
Ambetter / Centene	$61	591%
Home State Health Plan Contracted [320187]	$61	591%
Mercy Interfacility [20513]	$66	640%
Auxiant Contracted [320462]	$93 - $140	901%
Mercy Benefit Admin Contracted [320251]	$93 - $140	901%
Workers Comp [20426]	$101	979%
90 Degree Benefits Contracted [320436]	$132	1279%
Aither Health Contracted [320449]	$132	1279%
Ebms Contracted [320493]	$132	1279%
Edison Health Solutions Contracted [320502]	$132	1279%
Healthlink Contracted [320179]	$132 - $140	1279%
Imagine 360 Contracted [320494]	$132	1279%
Multiplan Contracted [320270]	$132	1279%
Multiplan [20270]	$132	1279%
Municipal Health Plan Contracted [320271]	$132	1279%
Reflect Health Contracted [320492]	$132	1279%
Show-Me Health Administrators Contracted [320483]	$132	1279%
Federal Medical Center Contracted [320127]	$140	1357%
Healthscope Contracted [320182]	$140	1357%
Insurance System Inc Contracted [320465]	$140	1357%
Personify Health Contracted [320051]	$140	1357%
Point C Contracted [320238]	$140	1357%
Preferred Health Plan Contracted [320522]	$140	1357%
Tri State Healthcare Coalition Contracted [320379]	$140	1357%

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 $101.
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 Mercy Hospital Paris 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.