CMS Price Transparency Data

Culture, blood

Facility: Decatur County Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$36

about 3.6× the $10 Medicare rate · typically $11–$102

modeled estimate · not a bill or quote

Medicare pays $10 Fair price $36 Cash price $206 Hospital's list price $258

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$26 - $223	252%
Blue Cross Blue Shieldmajor	$31 - $84	300%
Aetnamajor	$137 - $207	1328%
Cignamajor	$218 - $225	2112%
Humanamajor	$185 - $191	1793%
Amerigroup	$267 - $275	2587%
HealthPartners	$234 - $241	2267%
Medica	$203 - $210	1967%
Medical Mutual	$224 - $231	2171%
Priority Health	$254 - $262	2461%
+ 17 smaller / regional plans	$132 - $267

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 206), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 87040.

Insurance Before you use insurance

Call your insurance company to confirm Decatur County Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 87040.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Decatur County Hospital

Compare: Culture, blood at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.