CMS Price Transparency Data

Culture, blood

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $186
Cash Discount Price: $369
vs. Medicare Baseline: 18.02x Medicare

The contracted insurance negotiated median rate for a Culture, blood at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $369. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 18.02x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$369

Average discount available for prompt cash payment at this facility.

Insurance Median

$186

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: $369 (3576%)

Insurance Median: $186 (1802%)

Cash: $369 (3576% of Medicare)

Ins. Median: $186 (1802% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1802% of the Medicare baseline (a markup of 1702%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United Hc	$6 - $737	58%
Aetna	$7 - $405	68%
Blue Cross Blue Shield	$8 - $554	78%
Cigna	$9 - $442	87%
Devoted	$10 - $156	97%
Humana	$10 - $479	97%
Careplus	$11 - $149	107%
Freedom Health	$11	107%
Optimum	$11	107%
Evolutions	$12 - $590	116%
Avmed	$14 - $442	136%
Baycare	$14 - $149	136%
Health First	$15 - $405	145%
Multiplan	$17 - $590	165%
Molina	$144	1395%
Emerging Therapies	$442	4283%
UnitedHealthcare	$442	4283%
First Health	$553	5359%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $369.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.