CMS Price Transparency Data
Culture, blood
Facility: Monterey Park Hospital
Billing Code: 87040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87040
- Insurance Median: $12
- Cash Discount Price: $432
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Monterey Park Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $432. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.16x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$432
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: $432 (4186%)
Insurance Median: $12 (116%)
Cash: $432 (4186% 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 |
|---|---|---|
| Altamed Health Services Corporation | $2 - $84 | 19% |
| Care 1St M Cal | $2 - $84 | 19% |
| Crown City Medical Group Inc | $2 - $84 | 19% |
| Family Health Alliance Medical Group | $2 - $253 | 19% |
| Garfield Medical Center | $2 - $84 | 19% |
| Physician Healthways | $2 - $211 | 19% |
| Universal Care M Cal/Advantage Health Network | $2 - $84 | 19% |
| Employee Health Systems Medical Group | $4 - $169 | 39% |
| Global Care Medical Group Ipa | $4 - $380 | 39% |
| Healthnet/Ehs Capitation | $4 - $169 | 39% |
| Alta Med Health Services Corp | $5 - $211 | 48% |
| Hispanic Physicians Ipa Medical Corporation | $5 - $211 | 48% |
| Ahmc Healthcare Inc | $6 - $253 | 58% |
| Ahmc Reciprocity Agreement Senior/Commercial | $6 - $253 | 58% |
| Allied Physicians Ipa | $6 - $253 | 58% |
| Bella Vista Medical Group | $6 - $253 | 58% |
| Community Health Plan M Cal Joy Ipa | $6 - $253 | 58% |
| Esperanza Medical Group Ipa | $6 - $253 | 58% |
| Pacific Independent Physician Association | $6 - $253 | 58% |
| Tenet Reciprocity | $6 - $253 | 58% |
| Blue Shield Of California | $7 - $422 | 68% |
| Healthcare Partners Affiliates Medical Group | $7 - $301 | 68% |
| Veterans Administration | $7 | 68% |
| Applecare Medical Group | $8 - $9 | 78% |
| Central Health Plan Of California | $8 - $338 | 78% |
| La Care Health Plan | $8 - $464 | 78% |
| Molina Medical Centers | $8 - $329 | 78% |
| Access Ipa Ancillary | $9 | 87% |
| Accountable Ipa | $9 | 87% |
| Alhambra Community Dialysis Unit Inc | $9 - $506 | 87% |
| Allied Physicians | $9 - $15 | 87% |
| Altamed Health Network | $9 - $10 | 87% |
| Altamed Health Services | $9 | 87% |
| Assess Ipa | $9 | 87% |
| Associated Hispanic Physicians Ancillary | $9 | 87% |
| Bella Vista Medical Group Ancillary | $9 | 87% |
| Beverly Hospital | $9 - $11 | 87% |
| Blue Cross Blue Shield | $9 - $422 | 87% |
| Brand New Day | $9 - $13 | 87% |
| Care 1St Mcl/Gar Cap | $9 | 87% |
| Central Health Plan | $9 | 87% |
| Community Health Plan | $9 | 87% |
| Health Net Medi Cal | $9 | 87% |
| Healthnet Inc | $9 | 87% |
| Healthy Way La | $9 | 87% |
| La Care | $9 - $10 | 87% |
| Medical Managed Care Program | $9 | 87% |
| Molina Healthcare | $9 | 87% |
| Other Non-Contracted Medi-Cal | $9 | 87% |
| Preferred Ipa | $9 - $13 | 87% |
| Preferred Ipa Of California | $9 | 87% |
| Senior Citizens Choice | $9 | 87% |
| Aetna | $10 - $614 | 97% |
| Aids Health Foundation | $10 | 97% |
| Alignment Health Plan | $10 | 97% |
| Apa/Aco Inc | $10 | 97% |
| Avanti | $10 - $12 | 97% |
| Cms | $10 | 97% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $10 | 97% |
| Easy Choice Health Plan | $10 | 97% |
| Emanate Health | $10 - $13 | 97% |
| First Health Senior | $10 | 97% |
| Foundation Health Plan | $10 | 97% |
| Health Net | $10 - $549 | 97% |
| Health Net Inc | $10 - $598 | 97% |
| Hollywood Presbyterian Adv Med Mcal | $10 | 97% |
| Hollywood Presbyterian Medpoint Mcal | $10 | 97% |
| Humana | $10 | 97% |
| La Care Covered Direct | $10 | 97% |
| Maxi Med Inc/Ipa | $10 | 97% |
| Medi Cal | $10 | 97% |
| Medicare (plans) | $10 - $11 | 97% |
| Scan Health Plan | $10 | 97% |
| Secure Horizons | $10 | 97% |
| Self-Pay | $10 | 97% |
| Ucla/Impact Cancer | $10 | 97% |
| UnitedHealthcare | $10 - $591 | 97% |
| Molina Healthcare Medi-Connect | $11 | 107% |
| San Miguel Health Plan | $11 | 107% |
| Asi Flex Ppo W/C | $12 | 116% |
| Athens Administrators | $12 | 116% |
| Care 1St Health Plan | $12 - $506 | 116% |
| Cigna | $12 | 116% |
| Greater Los Angeles Dialysis Inc | $12 - $506 | 116% |
| Health Net Of California | $12 - $505 | 116% |
| Indemnity W Comp Fee Schedule | $12 | 116% |
| Interplan | $12 - $633 | 116% |
| Multiplan | $12 - $717 | 116% |
| One Health Plan | $12 - $775 | 116% |
| Preferred Health Network | $12 - $675 | 116% |
| Ahmc Health Epo | $13 | 126% |
| Choice Care Network | $13 - $549 | 126% |
| Healthnet | $13 - $549 | 126% |
| Knox-Keene Act | $13 | 126% |
| Molina Healthcare Of California | $13 | 126% |
| Universal Care | $14 - $591 | 136% |
| Caloptima Direct | $15 | 145% |
| Corvel Corporation | $16 - $925 | 155% |
| Bce Emergis Corp | $17 - $717 | 165% |
| Commercial Non Contract | $20 - $844 | 194% |
| Mri/Ct Greater El Monte Hospital | $20 - $844 | 194% |
| Mri/Mra/Alhambra Hospital | $20 - $844 | 194% |
| Mri/Mra/Eladh | $20 - $844 | 194% |
| One Legacy | $20 - $844 | 194% |
| Pacificare | $21 - $41 | 203% |