CMS Price Transparency Data

Culture, blood

Facility: Kingman Regional Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $436
Cash Discount Price: $196
vs. Medicare Baseline: 42.25x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Kingman Regional Medical Center is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 42.25x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$436

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: $196 (1899%)

Insurance Median: $436 (4225%)

Cash: $196 (1899% of Medicare)

Ins. Median: $436 (4225% 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 4225% of the Medicare baseline (a markup of 4125%). 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
Health Choice Generations	$10	97%
Hpn Sierra Nevada Mcr Adv	$10	97%
Medicare (plans)	$10	97%
Triwest - All Plans	$10	97%
Care 1St Mcr Adv-All Other Plans	$11	107%
Humana	$11 - $425	107%
Mercy Care Adv Snp-All Other Plans	$11	107%
UnitedHealthcare	$11 - $310	107%
Geo Group Chc Az State Prison-All Plans	$15	145%
Health Choice- All Other Plans	$26	252%
Aetna	$51 - $64	494%
Blue Cross Blue Shield	$283 - $354	2742%
Health Plan Of Nevada-All Other Plans	$300 - $374	2907%
Health Choice Hie Exchange	$398 - $497	3857%
Multiplan-All Plans	$398 - $497	3857%
Cigna	$447 - $559	4331%
Three Rivers-All Plans	$457 - $571	4428%
America'S Choice Provider Network-All Plans	$472 - $590	4574%
Apipa - Ahcccs-All Other Plans	$497 - $621	4816%
Az Foundation-All Plans	$497 - $621	4816%
Health Choice Az	$497 - $621	4816%
Mediversal-All Plans	$497 - $621	4816%
One Health Plan-All Plans	$497 - $621	4816%
Universal Health-All Plans	$497 - $621	4816%
Care 1St Mcaid	$522 - $652	5058%
Mercy Care Ahcccs Ddd	$547 - $683	5300%

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 $196.
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 Kingman Regional Medical Center 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.