CMS Price Transparency Data

Culture, blood

Facility: HCA Florida Putnam Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $12
  • Cash Discount Price: $1,058
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, blood at HCA Florida Putnam Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,058. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.16x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
$1,058

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $1,058 (10252%)
Insurance Median: $12 (116%)
Cash: $1,058 (10252% of Medicare)
Ins. Median: $12 (116% 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 - $180 87%
Ndms Definitive Care $10 97%
United $10 - $476 97%
Wellmed $10 97%
Aetna $11 - $317 107%
Align Senior Care $11 107%
American Health Plan $11 107%
Blue Cross Blue Shield $11 107%
Centurion $11 107%
Cigna $11 107%
Clear Spring Health $11 107%
Fl Health Care Plan $11 107%
Florida Complete Care $11 107%
Gold Kidney Of Florida $11 107%
Putnam County Sheriffs $11 107%
Sunshine State $11 107%
Wellcare $11 107%
Longevity Health Plan $12 116%
Ultimate Health Plan $12 116%
Oscar $13 126%
Simply Healthcare $13 126%
Avmed $127 - $529 1231%
Simply $163 1579%
Molina Healthcare $201 - $339 1948%
Corvel Corporation $231 2238%
Prime Health $236 2287%
Careworks (Rockport Community) $243 2355%
Evolutions $243 2355%
Sunshine State Health Plan $270 2616%
Plotkin Health $529 5126%
Prime Health Sheriff $529 5126%
Multiplan $825 - $900 7994%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals