CMS Price Transparency Data
Culture, blood
Facility: Adair County Memorial Hospital
Billing Code: 87040 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$38
about 3.8× the $10 Medicare rate · typically $10–$92
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $38 Cash price $93 Hospital's list price $125
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $39 - $143 | 378% |
| Blue Cross Blue Shieldmajor | $33 | 320% |
| Aetnamajor | $46 - $116 | 446% |
| GEHA | $66 - $170 | 640% |
| + 3 smaller / regional plans | $41 - $150 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Adair County Memorial Hospital
Compare: Culture, blood at other IA hospitals
- Veterans Memorial Hospital · Waukon $8
- Davis County Hospital · Bloomfield $9
- Mercy Medical Center-New Hampton · New Hampton $9
- Horn Memorial Hospital · Ida Grove $9
- Mary Greeley Medical Center · Ames $10
- Genesis Medical Center-Davenport · Davenport $10
- Van Buren County Hospital · Keosauqua $10
- Mercyone Oelwein Medical Center · Oelwein $10
Insurance negotiated median for the same procedure, sorted lowest first.