CMS Price Transparency Data

Culture, blood

Facility: UF Health Shands Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $11
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Culture, blood at UF Health Shands Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.07x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $41 (397%)
Insurance Median: $11 (107%)
Cash: $41 (397% of Medicare)
Ins. Median: $11 (107% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $5 - $61 48%
Amerihealth Caritas Florida $5 48%
Beacon Health Strategies $5 48%
Community Care Plan $5 48%
Florida Community Care $5 48%
Humana $5 - $10 48%
Molina $5 48%
Sunshine State Health Plan $5 48%
UnitedHealthcare $5 - $11 48%
Simply Healthcare $7 68%
Avmed $10 97%
Blue Cross Blue Shield $10 - $40 97%
Capital Health Plan $10 - $37 97%
North Central Hospice $10 97%
Vha $10 97%
Wellcare $10 97%
Ahf Mco Of Fl $11 107%
Carelon Health $11 107%
Careplus $11 107%
Devoted Health Plan $11 107%
Freedom Health- Inc./Optimum Healthcare- Inc. $11 107%
Positive Healthcare Partners $11 107%
Ghilcrest County $13 126%
Levy County $13 126%
Wellpath $17 165%
Uaa $28 271%
Ambetter / Centene $30 291%
Northeast Fl Hospital $33 320%
Florida Health Care Plan $37 359%
Health First $52 504%
Prime Health Services $52 504%
Cigna $55 533%
Archbold Medical Center $56 543%
Genex $56 543%
Corvel Corp $63 610%
Geha $67 649%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals