CMS Price Transparency Data
Culture, blood
Facility: Holy Cross Hospital
Billing Code: 87040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87040
- Insurance Median: $10
- Cash Discount Price: $671
- vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Holy Cross Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $671. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 0.97x the Medicare baseline. Located in 4725 N Federal Hwy, Ft Lauderdale, FL.
Cash / Self-Pay
$671
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: $671 (6502%)
Insurance Median: $10 (97%)
Cash: $671 (6502% 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 |
|---|---|---|
| Geha | $4 - $25 | 39% |
| UnitedHealthcare | $4 - $25 | 39% |
| Aetna | $6 - $548 | 58% |
| Albany County Correctional Facility | $6 | 58% |
| Ambetter / Centene | $6 - $37 | 58% |
| Amish Mennonite | $6 | 58% |
| Ascension St. Vincent Public Safety Medical | $6 | 58% |
| Bcccp-Michigan | $6 | 58% |
| Bccp | $6 | 58% |
| Blue Cross Blue Shield | $6 - $216 | 58% |
| Bmc Healthnet | $6 | 58% |
| Breast Grant-Connecticut | $6 | 58% |
| Broward County Dept Of Health | $6 | 58% |
| California Health And Wellness | $6 | 58% |
| Cardinal Innovations Lme | $6 | 58% |
| Care Connections Of Northern Iowa | $6 | 58% |
| Care Oregon Ohp | $6 | 58% |
| Cencal Health Plan | $6 | 58% |
| Cenpatico | $6 | 58% |
| Chhuny | $6 | 58% |
| Childrens Comm Health Plan | $6 | 58% |
| Childrens Medical Services Title 19 | $6 | 58% |
| Cigna | $6 - $513 | 58% |
| City Of Philadelphia | $6 | 58% |
| Cmh Allegan County | $6 | 58% |
| Cmh Ausable Valley | $6 | 58% |
| Cmh Barry County | $6 | 58% |
| Cmh Bay-Arenac County | $6 | 58% |
| Cmh Berrien County | $6 | 58% |
| Cmh Cass County | $6 | 58% |
| Cmh Central Mi County | $6 | 58% |
| Cmh Clinton-Eaton-Ingham County | $6 | 58% |
| Cmh Detroit Wayne Integrated Health Network | $6 | 58% |
| Cmh Genesee County | $6 | 58% |
| Cmh Ionia County | $6 | 58% |
| Cmh Jackson County/Lifeways | $6 | 58% |
| Cmh Kalamazoo | $6 | 58% |
| Cmh Kent County | $6 | 58% |
| Cmh Lenawee County | $6 | 58% |
| Cmh Livingston County | $6 | 58% |
| Cmh Macomb | $6 | 58% |
| Cmh Misc | $6 | 58% |
| Cmh Monroe County | $6 | 58% |
| Cmh Montcalm County | $6 | 58% |
| Cmh Muskegon County | $6 | 58% |
| Cmh Newaygo County | $6 | 58% |
| Cmh North Country | $6 | 58% |
| Cmh Northern Lakes County | $6 | 58% |
| Cmh Oakland County | $6 | 58% |
| Cmh Ottawa County | $6 | 58% |
| Cmh Van Buren County | $6 | 58% |
| Cmh Washtenaw County | $6 | 58% |
| Cmh Wayne County/Carelink | $6 | 58% |
| Cmh Wayne Cty/Com Liv Svcs | $6 | 58% |
| Cmh West Mi County | $6 | 58% |
| Community Benefit Health | $6 | 58% |
| Community Care Behavorial Health | $6 | 58% |
| Community Care Partners | $6 | 58% |
| Community Health Choice | $6 | 58% |
| Connections Csp | $6 | 58% |
| County Coroner | $6 | 58% |
| County Funding Generic | $6 | 58% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $6 | 58% |
| Dean Wi Badgercare | $6 | 58% |
| Delaware County Department Of Health | $6 | 58% |
| Delaware First Health | $6 | 58% |
| Delta Dental Nj | $6 | 58% |
| Dph Tb Program | $6 | 58% |
| Dscc | $6 | 58% |
| Eastpointe Lme | $6 | 58% |
| Family Health Network | $6 | 58% |
| Freedom First Healthcare | $6 | 58% |
| Fresno County Ccs | $6 | 58% |
| Ghc Scw Wi Badgercare | $6 | 58% |
| Harbor Health | $6 | 58% |
| Health Safety Net | $6 | 58% |
| Healthy Blue Ne | $6 | 58% |
| Hennepin Health | $6 | 58% |
| Humana | $6 - $1,092 | 58% |
| Id County Ada | $6 | 58% |
| Id County Canyon | $6 | 58% |
| Id County Cat Fund | $6 | 58% |
| Id County Other | $6 | 58% |
| Id County Payette | $6 | 58% |
| Idaho Dept Health And Wellfare | $6 | 58% |
| Idaho Womens Health Check | $6 | 58% |
| Indiana Breast Cervical Cancer | $6 | 58% |
| Inland Empire Health Plan | $6 | 58% |
| Intercommunity Health Ohp | $6 | 58% |
| Iowa Total Care | $6 | 58% |
| Jai Medical System | $6 | 58% |
| Kern Family Health Plan | $6 | 58% |
| Keystone First | $6 | 58% |
| Keystone First Chip | $6 | 58% |
| La Care Health Plan | $6 | 58% |
| Lakeland Care Inc | $6 | 58% |
| Managed Health Services - Indiana | $6 | 58% |
| Maryland Breast & Cervical Program | $6 | 58% |
| Maryland Healthy Smiles - Scion Dental | $6 | 58% |
| Maryland Physicians Care | $6 | 58% |
| Massachusetts Behavioral Health Partnership | $6 | 58% |
| Mdwise | $6 | 58% |
| Medi-Cal | $6 | 58% |
| Medi-Cal Healthnet | $6 | 58% |
| Medicaid / KanCare | $6 - $1,092 | 58% |
| Medstar Dc Healthy Family | $6 | 58% |
| Medstar Md Health Choice | $6 | 58% |
| Mo Home State Health Plan | $6 | 58% |
| Molina Centennial Care | $6 | 58% |
| Nascentia Health Options | $6 | 58% |
| Nebraska Total Care | $6 | 58% |
| New York Cancer Services Program | $6 | 58% |
| Nextlevel Health | $6 | 58% |
| Oregon Screenwise | $6 | 58% |
| Pace Of Southwest Michigan | $6 - $10 | 58% |
| Paramount Advantage | $6 | 58% |
| Parkland Community Health Plan | $6 | 58% |
| Partners Behavioral Lme | $6 | 58% |
| Peach State Healthplan | $6 | 58% |
| Philadelphia County Funding | $6 | 58% |
| Presbyterian Centennial Care | $6 | 58% |
| Prestige Health Choice | $6 | 58% |
| Priority Partners | $6 | 58% |
| Robert F Sing Program | $6 | 58% |
| Rx 340B Pass Along | $6 | 58% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $6 | 58% |
| Rx Medi-Cal | $6 | 58% |
| Rx Meridian Rx | $6 | 58% |
| Ryan White Florida Mssrp | $6 - $20 | 58% |
| Sandhills Center Lme | $6 | 58% |
| Screening For Life | $6 | 58% |
| St Joseph County Hlth Dpt | $6 | 58% |
| Stephenson Cty Health | $6 | 58% |
| Sunshine State Health Plan | $6 - $1,092 | 58% |
| Superior Health | $6 | 58% |
| Tenncare | $6 | 58% |
| Texas Children'S Health Plan | $6 | 58% |
| Trillium Community Ohp | $6 | 58% |
| Tufts Health Public Plans | $6 | 58% |
| Upmc Health Plan | $6 - $513 | 58% |
| Vaya Health Lme | $6 | 58% |
| Washtenaw Health Plan | $6 | 58% |
| Wellsense Health Plan | $6 | 58% |
| Wi Womens Wellness | $6 | 58% |
| Bcn Domestic | $9 - $183 | 87% |
| Blue Benefit Administrators Of Massachusetts | $9 - $183 | 87% |
| Blue Care Network | $9 - $183 | 87% |
| Blue Distinction Transplant | $9 - $183 | 87% |
| Blue Shield - Ca | $9 - $183 | 87% |
| Blue Shield - Id (Regence) | $9 - $183 | 87% |
| Blue Shield - Ny Highmark Northeastern | $9 - $183 | 87% |
| Blue Shield - Ny Highmark Western | $9 - $183 | 87% |
| Blue Shield - Pa (Highmark) | $9 - $183 | 87% |
| Blue Shield - Wa (Regence) | $9 - $183 | 87% |
| Careplus Health Plans | $9 - $21 | 87% |
| Health Choices | $9 - $183 | 87% |
| Kaiser Domestic | $9 - $183 | 87% |
| Pre-Employment | $9 - $183 | 87% |
| Preferred Care Partners | $9 - $20 | 87% |
| Wc Domestic | $9 - $183 | 87% |
| Align Senior Care | $10 | 97% |
| Ally Align Care Adv | $10 | 97% |
| American Health Advantage Of Idaho | $10 | 97% |
| American Health Plan | $10 | 97% |
| Aurora Special Needs | $10 | 97% |
| Blue Care Network Advantage | $10 | 97% |
| Blue Shield - De (Highmark) Medciare Advantage | $10 | 97% |
| Care Dimensions | $10 | 97% |
| Care Improvement Plus | $10 | 97% |
| Care Resources Pace | $10 | 97% |
| Catholic Hospice | $10 - $21 | 97% |
| Cca - Zing Health | $10 | 97% |
| Cca Senior Care Options | $10 | 97% |
| Central Valley Medical Services Corp Pace | $10 | 97% |
| Champion Health Plan Mcr Advantage | $10 | 97% |
| Champva | $10 | 97% |
| Clear Spring Health | $10 | 97% |
| Clover Health | $10 | 97% |
| Commonwealth Care Alliance | $10 | 97% |
| Community Pace At Home | $10 | 97% |
| Curative | $10 - $38 | 97% |
| Eddy Senior Care-Pace | $10 | 97% |
| Eddy Seniorcare Pace | $10 | 97% |
| Elementcare | $10 | 97% |
| Evercare | $10 | 97% |
| Everence | $10 | 97% |
| Gateway Health Plan | $10 | 97% |
| Genesys Pace Of Genesee County | $10 | 97% |
| Georgia Health Advantage | $10 | 97% |
| Gold Advantage | $10 | 97% |
| Gpa Croell Redi Mix | $10 | 97% |
| Health America Advantra | $10 | 97% |
| Highmark Health Options Dual Plan | $10 | 97% |
| Hope Select Pace | $10 | 97% |
| Horizon Nj Total Care | $10 | 97% |
| Hudson Headwaters Pace | $10 | 97% |
| Huron Valley Pace | $10 | 97% |
| Innovative Integrated Health Community Plans | $10 | 97% |
| Iowa Health Advantage | $10 | 97% |
| Johns Hopkins Advantage Md | $10 | 97% |
| Lasso Healthcare Msa | $10 | 97% |
| Life St Marys Pace | $10 | 97% |
| Lifecircles Pace | $10 | 97% |
| Longevity Health Plan | $10 | 97% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $10 | 97% |
| Martins Point Generations Advantage | $10 | 97% |
| Mass General Brigham Mcr Adv | $10 | 97% |
| Medicare (plans) | $10 - $22 | 97% |
| Medipak Advantage | $10 | 97% |
| Mercy Life | $10 | 97% |
| Mercyone Cedar Valley | $10 | 97% |
| Meridian Complete | $10 | 97% |
| Michigan Complete Health | $10 | 97% |
| Nascentia Health Plus | $10 | 97% |
| New Centry Health Careplus | $10 | 97% |
| Osu Prime Care Advantage | $10 | 97% |
| Pace Cny | $10 | 97% |
| Pace Iowa Immanuel Pathways | $10 | 97% |
| Pace Southeast | $10 | 97% |
| Pace-Trinity Health | $10 | 97% |
| Peak Pace Solutions | $10 | 97% |
| Perennial Advantage | $10 | 97% |
| Presbyterian Senior Plan | $10 | 97% |
| Provider Partners Health Plan Of Illinois | $10 | 97% |
| Provider Partners Health Plan Of Indiana | $10 | 97% |
| Pruitthealth Premier | $10 | 97% |
| Reliance Community Care Partners Care Resources Pace | $10 | 97% |
| Rx Allwin | $10 | 97% |
| Rx Grane Grnmedd | $10 | 97% |
| Rx Retiree Rx Care | $10 | 97% |
| Scan Health Plan Mcr Ipa Meritage Oon | $10 | 97% |
| Secure Horizons Ma Pffs | $10 | 97% |
| Serenity Pace | $10 | 97% |
| Siouxland Pace | $10 | 97% |
| Sunnyview-Pace Finance Dept | $10 | 97% |
| Texan Plus | $10 | 97% |
| The Health Plan | $10 | 97% |
| Thome Pace | $10 | 97% |
| Todays Options | $10 | 97% |
| Tribute Health Plans | $10 | 97% |
| Tricare | $10 | 97% |
| Triwest Health Alliance | $10 | 97% |
| Trustbridge | $10 - $20 | 97% |
| Um Health Advantage | $10 | 97% |
| Union Health Service | $10 | 97% |
| Us Family Health Plan | $10 | 97% |
| Veterans Administration | $10 | 97% |
| Veterans Eval Services | $10 | 97% |
| Vitas Healthcare Corp | $10 - $21 | 97% |
| Welbe Health | $10 | 97% |
| Wellmed | $10 | 97% |
| Solis Health Plans | $11 - $22 | 107% |
| Wc Broward County | $11 - $632 | 107% |
| Wc Corvel | $11 - $442 | 107% |
| Molina Marketplace | $12 - $36 | 116% |
| Wc Heritage Summit | $12 - $632 | 116% |
| Oscar | $13 - $35 | 126% |
| Centivo | $14 - $44 | 136% |
| Coventry | $14 - $71 | 136% |
| First Health | $14 - $641 | 136% |
| Meritain | $14 - $71 | 136% |
| Multiplan | $15 - $961 | 145% |
| Phcs | $15 - $764 | 145% |
| Avmed Health Plan | $17 - $273 | 165% |
| Allied Benefit Systems | $36 - $71 | 349% |
| Community Care Plan | $222 - $1,092 | 2151% |
| Memorial Integrated Health | $222 - $589 | 2151% |
| Allianz Global Assistance | $506 - $655 | 4903% |
| Axa Assistance Us | $506 - $655 | 4903% |
| Axis Services | $506 - $655 | 4903% |
| Desjardins Financial Security Life Assurance | $506 - $655 | 4903% |
| Global Benefits Group | $506 - $655 | 4903% |
| Global Health Claim Services | $506 - $655 | 4903% |
| Morgan White Administrators | $506 - $655 | 4903% |
| National Healthcare Solutions | $506 - $655 | 4903% |
| Olympus Managed Health Care | $506 - $655 | 4903% |
| Penfield Care | $506 - $655 | 4903% |
| Sanus Healthcare | $506 - $655 | 4903% |
| Selectcare Worldwide | $506 | 4903% |
| Star Healthcare Network | $506 | 4903% |
| Sunmed International | $506 - $677 | 4903% |
| Ww Concierge Healthcare Service | $506 - $655 | 4903% |
| Mvp | $513 | 4971% |
| Bridge Health | $546 | 5291% |
| Auto Liabililty Praxis | $613 | 5940% |
| Wc Praxis Health Network | $613 | 5940% |
| Connecticare | $641 | 6211% |
| Emblem Health | $641 | 6211% |
| Cmn Global | $655 | 6347% |
| Global Medical Management | $655 | 6347% |
| Guardian | $655 | 6347% |
| Quality Health Management | $655 | 6347% |
| International Generic | $710 | 6880% |
| Unicare | $764 | 7403% |
| General Electric | $1,092 | 10581% |
| Heartland Hospice | $1,092 | 10581% |
| Hospice Vitas | $1,092 | 10581% |
| Sunbelt International | $1,092 | 10581% |