CMS Price Transparency Data
Culture, blood
Facility: Holmes Regional Medical Center
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$54
about 5.4× the $10 Medicare rate · typically $19–$93
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $54 Cash price $65 Hospital's list price $259
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $4 - $259 | 39% |
| Blue Cross Blue Shieldmajor | $382 - $402 | 3702% |
| Aetnamajor | $4 - $285 | 39% |
| Cignamajor | $100 - $107 | 969% |
| Humanamajor | $4 - $259 | 39% |
| Amerigroup | $4 - $272 | 39% |
| Molina | $4 - $290 | 39% |
| + 5 smaller / regional plans | $4 - $272 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Holmes Regional Medical Center
Compare: Culture, blood at other FL hospitals
- Sarasota Memorial Hospital · Sarasota $7
- Lower Keys Medical Center · Key West $8
- Jay Hospital · Jay $9
- Shands Jacksonville · Jacksonville $10
- Parrish Medical Center · Titusville $10
- Manatee Memorial Hospital · Bradenton $10
- Mease Dunedin Hospital · Dunedin $10
- Cleveland Clinic Martin North Hospital · Stuart $10
Insurance negotiated median for the same procedure, sorted lowest first.