CMS Price Transparency Data

Culture, blood

Facility: HCA Healthone Rose

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $337
Cash Discount Price: $1,429
vs. Medicare Baseline: 32.66x Medicare

The contracted insurance negotiated median rate for a Culture, blood at HCA Healthone Rose is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,429. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 32.66x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$1,429

Average discount available for prompt cash payment at this facility.

Insurance Median

$337

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: $1,429 (13847%)

Insurance Median: $337 (3266%)

Cash: $1,429 (13847% of Medicare)

Ins. Median: $337 (3266% 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 3266% of the Medicare baseline (a markup of 3166%). 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
Cigna	$5 - $919	48%
Aetna	$10 - $758	97%
Blue Cross Blue Shield	$10 - $1,063	97%
Bright Health	$10 - $431	97%
Devoted Health	$10	97%
Humana	$10	97%
Mutual Of Omaha	$10	97%
Rocky Mountain Health	$10	97%
Rocky Mountain Health Plan	$10	97%
Total Longterm Care	$10	97%
Triwest Health Alliance	$10	97%
United	$10 - $646	97%
Delaware Life Insurance	$11	107%
Innovage Pace	$11	107%
Kaiser	$11 - $373	107%
Wellcare	$11	107%
Vail Health	$216 - $218	2093%
Colorado Program For Children With Special Needs	$640 - $646	6202%
Western Plains Community Health	$924 - $933	8953%
Multiplan	$995 - $1,292	9641%
Northcare	$995 - $1,005	9641%
Physician Health Partners	$995 - $1,005	9641%
Pinnacol Workers Comp	$1,066 - $1,077	10329%
Medical Development International	$1,138 - $1,149	11027%
Rocky Mtn Planned Parenthood	$1,209 - $1,221	11715%
Prime Health	$1,280 - $1,292	12403%

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 $1,429.
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 HCA Healthone Rose 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.