CMS Price Transparency Data

Culture, blood

Facility: Adventist Health White Memorial Montebello

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $12
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Adventist Health White Memorial Montebello is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.16x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$10

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: $10 (97%)
Insurance Median: $12 (116%)
Cash: $10 (97% 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

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
Aetna $10 - $195 97%
Alignment Health Plan-All Plans $10 97%
Altamed Mcare-All Other Plans $10 97%
Blue Shield Mcare Adv $10 97%
Brand New Day Mcare-All Other Plans $10 97%
Brandman Health Plan-All Plans $10 97%
Caremore-All Plans $10 97%
Clever Care Hp-All Plans $10 97%
Easy Choice Mcare Adv-All Plans $10 97%
Healthnet Med Adv $10 97%
Kaiser Mcare Adv $10 97%
Scan Health-All Plans $10 97%
Oscar-All Plans $11 107%
Altamed Mcal $12 116%
Bc Mcal $12 116%
Blue Shield Promise Mcal $12 116%
Brand New Day Mcal $12 116%
Healthnet Mcal $12 116%
Kaiser Mcal $12 116%
La Care Mcal $12 116%
Medi-Cal $12 116%
Molina Mcal - All Plans $12 116%
Blue Shield Epn Ifp $15 145%
Cigna $19 184%
Healthnet Salud $64 - $159 620%
Healthcare Partners-All Plans $105 - $261 1017%
Blue Cross Blue Shield $143 - $354 1386%
Blue Shield Epn Core $271 2626%
Blue Shield Comm - All Other Plans $281 2723%
Healthnet Comm-All Other Plans $515 4990%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals