CMS Price Transparency Data
Culture, blood
Facility: Adventist Health White Memorial
Billing Code: 87040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87040
- Insurance Median: $12
- Cash Discount Price: $130
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Adventist Health White Memorial is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.16x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$130
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
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: $130 (1260%)
Insurance Median: $12 (116%)
Cash: $130 (1260% of Medicare)
Ins. Median: $12 (116% 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Shield - All Other Plans | $2 - $229 | 19% |
| Blue Shield Epn | $2 - $197 | 19% |
| Blue Shield Mcr Adv | $3 - $248 | 29% |
| Pacific Ipa - All Other Plans | $3 - $315 | 29% |
| UnitedHealthcare | $3 - $414 | 29% |
| Bc Medi-Cal | $4 | 39% |
| Caremore Mcare - All Plans | $4 - $414 | 39% |
| Hcpamg - All Plans | $4 - $415 | 39% |
| Healthnet - All Other Plans | $4 - $374 | 39% |
| Healthnet Comm Care | $4 - $386 | 39% |
| Kaiser- All Plans | $4 - $339 | 39% |
| First Heatlh Ppo - All Plans | $5 - $480 | 48% |
| Healthcare Inc - All Other Plans | $5 - $455 | 48% |
| La Care Mcr Adv - All Plans | $5 - $455 | 48% |
| Western Growers/Pinnacle - All Plans | $5 - $422 | 48% |
| Phcs Ppo - All Plans | $6 - $538 | 58% |
| Scan Health Mcare - All Plans | $6 - $538 | 58% |
| Ahf - All Plans | $7 - $621 | 68% |
| Beech Street - All Plans | $7 - $621 | 68% |
| Corvel Corp - All Plans | $7 - $662 | 68% |
| Interplan Ppo - All Plans | $7 - $621 | 68% |
| Multiplan Ppo - All Plans | $7 - $687 | 68% |
| Fpn Ppo - All Plans | $8 - $745 | 78% |
| Healthmannet - All Plans | $8 - $704 | 78% |
| Next Inc Ppo - All Plans | $8 - $704 | 78% |
| Trpn - All Plans | $8 - $704 | 78% |
| Access Group | $9 | 87% |
| Access Medi-Cal | $9 - $12 | 87% |
| Ahp - All Other Plans | $9 | 87% |
| Ahp Medi-Cal | $9 - $12 | 87% |
| Alta Los Angeles Mcal 1/1/19 | $9 - $12 | 87% |
| Altamed Medi-Cal - All Other Plans | $9 - $14 | 87% |
| Assoc Hispanic Physcns Mcal | $9 - $17 | 87% |
| Avanti Mcal | $9 - $12 | 87% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $9 | 87% |
| Bella Vista Medi-Cal Op/Profee Only | $9 - $12 | 87% |
| Blue Shield Medi-Cal | $9 - $30 | 87% |
| Care First Medi-Cal | $9 - $41 | 87% |
| Fcs Ipa Medi-Cal Op/Profee Only | $9 - $14 | 87% |
| Healthcare Inc Medi-Cal | $9 - $12 | 87% |
| Healthnet Mcal | $9 - $14 | 87% |
| Lasalle Mg Commercial - All Other Plans | $9 | 87% |
| Lasalle Mg Medi-Cal | $9 - $12 | 87% |
| Medi-Cal | $9 - $12 | 87% |
| Molina Medi-Cal | $9 - $12 | 87% |
| Pacific Alliance Medi-Cal | $9 - $12 | 87% |
| Pacific Ipa Medi-Cal | $9 - $12 | 87% |
| Preferred Healthy | $9 - $15 | 87% |
| Preferred Ipa La Care Mcal Cap | $9 - $12 | 87% |
| Preferred Medi-Cal | $9 - $12 | 87% |
| Access Senior - All Other Plans | $10 | 97% |
| Ahp Senior | $10 | 97% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $10 | 97% |
| Altamed Connect | $10 | 97% |
| Avanti Mcr Adv - All Other Plans | $10 | 97% |
| Brand New Day Mcare - All Plans | $10 | 97% |
| Bs Va Mcare | $10 | 97% |
| Care First Mcare - All Other Plans | $10 | 97% |
| Clever Care - All Plans | $10 | 97% |
| Fcs Ipa Mcr Advan Op/Profee Only | $10 | 97% |
| Humana | $10 | 97% |
| Lasalle Mg Senior | $10 | 97% |
| Medicare (plans) | $10 | 97% |
| Molina Mcare | $10 | 97% |
| Pacific Alliance Mcare - All Other Plans | $10 | 97% |
| Preferred Senior | $10 | 97% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $10 | 97% |
| Tricare | $10 | 97% |
| Blue Cross Blue Shield | $11 - $115 | 107% |
| Fcs Ipa Op/Profee Only - All Other Plans | $11 | 107% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $12 | 116% |
| Bright Health - All Plans | $12 | 116% |
| Preferred Commercial - All Other Plans | $12 | 116% |
| Intergrated Medical - All Plans | $13 | 126% |
| Healthnet Mcr Adv | $14 - $1,267 | 136% |
| Molina Benefit Exchange - All Other Plans | $14 | 136% |
| Php-Prospect Health Plan Cap - All Plans | $15 | 145% |
| Ah Employee Health Plan - All Plans | $19 | 184% |
| Centivo - All Plans | $23 | 223% |
| Cigna | $43 | 417% |
| Aetna | $54 | 523% |