CMS Price Transparency Data

Culture, blood

Facility: HCA Florida Trinity Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $15
  • Cash Discount Price: $3,365
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Culture, blood at HCA Florida Trinity Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,365. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.45x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
$3,365

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $3,365 (32607%)
Insurance Median: $15 (145%)
Cash: $3,365 (32607% of Medicare)
Ins. Median: $15 (145% 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
Humana $9 - $942 87%
Aetna $10 - $1,010 97%
Caresource $10 97%
Devoted Health $10 97%
Hernando-Pasco Hospice $10 97%
Ndms Definitive Care $10 97%
Sunshine State $10 97%
United $10 - $1,514 97%
United Behavioral Health $10 97%
United Va Ccn $10 97%
Wellcare $10 97%
Wellmed $10 97%
Align Senior Care $11 107%
American Health Plan $11 107%
Baycare Health Plans $11 107%
Blue Cross Blue Shield $11 107%
Centurion $11 107%
Cigna $11 107%
Clear Spring Health $11 107%
Florida Complete Care $11 107%
Gold Kidney Of Florida $11 107%
Pasco Sheriff'S Office $11 107%
Secur $11 107%
Ultimate Health Plan $11 107%
Careplus $12 116%
Longevity Health Plan $12 116%
Simply Healthcare $13 - $518 126%
Oscar $14 136%
Solis Health Plan $15 145%
Access 2 Healthcare Physicians Freedom Optimum Group Members $158 1531%
Access 2 Healthcare Physicians Freedom Health $242 2345%
Access 2 Healthcare Physicians Optimum $242 2345%
Corvel Corporation $250 2422%
Rockport Healthcare Group $250 2422%
Prime Health $255 2471%
Freedom Health Care $262 2539%
Optimum Healthcare $262 2539%
Avmed $269 - $841 2607%
Molina $639 - $909 6192%
Evolutions Healthcare Systems $774 - $3,096 7500%
Sunshine State Health Plan $858 8314%
Beacon Health Options $1,683 16308%
Plotkin Health $1,683 16308%
Prime Health Sheriff $1,683 16308%
Multiplan $2,524 - $2,860 24457%
Evernorth $2,692 26085%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals