CMS Price Transparency Data
Culture, blood
Facility: John Muir Medical Center - Concord Campus
Billing Code: 87040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87040
- Insurance Median: $10
- Cash Discount Price: $208
- vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Culture, blood at John Muir Medical Center - Concord Campus is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 0.97x the Medicare baseline. Located in 2540 East St, Concord, CA.
Cash / Self-Pay
$208
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
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: $208 (2016%)
Insurance Median: $10 (97%)
Cash: $208 (2016% of Medicare)
Ins. Median: $10 (97% 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 |
|---|---|---|
| Carecentrix [1011001] | $4 - $366 | 39% |
| Generic Commercial/Indemnity [1017001] | $4 - $366 | 39% |
| Aps Healthcare [1003103] | $5 - $411 | 48% |
| UnitedHealthcare | $5 - $535 | 48% |
| Carelon Behavioral Health [1050104] | $6 - $503 | 58% |
| Cigna | $6 - $654 | 58% |
| Fortified Provider Network [1063104] | $6 - $503 | 58% |
| Health Net Hmo [1028103] | $6 - $522 | 58% |
| Health Net-Network [1028026] | $6 - $522 | 58% |
| Medigap [1036001] | $6 - $503 | 58% |
| Three Rivers Provider Network [1073104] | $6 - $503 | 58% |
| United Behavioral Health [1048103] | $6 - $460 | 58% |
| Aetna | $7 - $661 | 68% |
| Blue Cross Blue Shield | $7 - $594 | 68% |
| Blue Shield Hmo [1006103] | $7 - $580 | 68% |
| Blue Shield Ppo [1006104] | $7 - $673 | 68% |
| Blue Shield-Network [1006026] | $7 - $580 | 68% |
| Contra Costa Health Plan Hmo [1013103] | $7 - $548 | 68% |
| Health Net Ppo [1028104] | $8 - $664 | 78% |
| Kaiser Hmo [1033103] | $8 - $676 | 78% |
| Western Health Advantage Hmo [1053103] | $8 - $731 | 78% |
| Contra Costa County Jail [1012104] | $9 | 87% |
| Federal Correction Institute [1062104] | $9 - $731 | 87% |
| First Health [1016104] | $9 - $777 | 87% |
| Health Management Network [1066104] | $9 - $777 | 87% |
| Healthcomp [1089104] | $9 - $777 | 87% |
| Healthsmart - Pka Interplan [1031104] | $9 - $731 | 87% |
| Humana | $9 - $759 | 87% |
| Medicare (plans) | $9 - $731 | 87% |
| Networks By Design [1084104] | $9 - $731 | 87% |
| Pponext [1072104] | $9 - $731 | 87% |
| Sutter Preferred Health Plan [1044104] | $9 - $731 | 87% |
| Alignment Health [1177113] | $10 | 97% |
| Blue Shield-Network Mcare [1006127] | $10 | 97% |
| Care 1St Health Plan [1094113] | $10 | 97% |
| Caremore [1171113] | $10 | 97% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] | $10 | 97% |
| Easy Choice Health Plan [1083113] | $10 | 97% |
| Essence Healthcare [1049028] | $10 | 97% |
| Essence Healthcare [1049128] | $10 | 97% |
| Galaxy Health Network [1064104] | $10 - $823 | 97% |
| Golden State-Network Mcare [1023127] | $10 | 97% |
| Health Net-Network Mcare [1028127] | $10 | 97% |
| Hospice Of East Bay [1085104] | $10 | 97% |
| Integrated Health Plan [1075104] | $10 - $823 | 97% |
| Scan-Network Mcare [1043127] | $10 | 97% |
| Veterans Administration [1051113] | $10 | 97% |
| Jmpn Canopy Hn [1640000011] | $12 | 116% |
| Workers' Comp [1024005] | $12 | 116% |
| Generic Hmo [1018103] | $13 | 126% |
| Generic Ppo [1021104] | $13 | 126% |
| Canopy Hn Hmo [1166103] | $19 | 184% |
| Brms [1091104] | $139 | 1347% |
| Delta Health Systems [1032104] | $139 | 1347% |
| Empire Plan [1092104] | $139 | 1347% |
| Donor Network West [1008103] | $4,000 | 38760% |