CMS Price Transparency Data

Culture, blood

Facility: HCA Florida University Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $15
Cash Discount Price: $1,978
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Culture, blood at HCA Florida University Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,978. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.45x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

$1,978

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: $1,978 (19167%)

Insurance Median: $15 (145%)

Cash: $1,978 (19167% 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.

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
Devoted Health	$10	97%
Humana	$10 - $673	97%
Ndms Definitive Care	$10	97%
United	$10 - $890	97%
Wellmed	$10	97%
Aetna	$11 - $593	107%
Align	$11	107%
American Health Plan	$11	107%
Blue Cross Blue Shield	$11	107%
Cigna	$11	107%
Doctors Healthcare Plan	$11	107%
Florida Complete Care	$11	107%
Oscar	$11 - $15	107%
Prominence Healthfirst	$11	107%
Sunshine State	$11	107%
Amerihealth Caritas	$12 - $15	116%
Gold Kidney	$12	116%
Longevity Health Plan	$12	116%
Simply Healthcare	$13	126%
Solis Health Plan	$15	145%
Freedom Health	$170	1647%
Avmed	$257 - $989	2490%
Simply Healthcare Plans	$257	2490%
Careworks (Rockport)	$276	2674%
Prime Health	$276	2674%
Molina	$376	3643%
Health Sun Health Plan	$421	4079%
United Ppo	$469	4545%
Sunshine State Health Plan	$522	5058%

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 $1,978.
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 HCA Florida University Hospital 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.