CMS Price Transparency Data

Culture, blood

Facility: Dallas County Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$54
about 5.4× the $10 Medicare rate · typically $13–$84
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $54 Cash price $121 Hospital's list price $186

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $86 - $158 833%
Blue Cross Blue Shieldmajor $95 921%
Aetnamajor $84 814%
Humanamajor $84 814%
Molina $95 921%
+ 1 smaller / regional plan $95
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 610 Tenth Street, Perry, IA 50220
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals