CMS Price Transparency Data

Culture, blood

Facility: Steele Memorial Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $140
Cash Discount Price: $113
vs. Medicare Baseline: 13.57x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Steele Memorial Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 13.57x the Medicare baseline. Located in 203 South Daisy Street, Salmon, ID.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

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: $113 (1095%)

Insurance Median: $140 (1357%)

Cash: $113 (1095% of Medicare)

Ins. Median: $140 (1357% 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 1357% of the Medicare baseline (a markup of 1257%). 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
Regence Blue Shield - All Plans	$16	155%
Aetna	$68 - $143	659%
Pacific Source Mcr Adv	$71	688%
Windsor Hp Mcr Adv - All Plans	$71	688%
Blue Cross Blue Shield	$72 - $151	698%
Select Health Mcr Adv	$72	698%
Liberty Healthshare - All Plans	$121	1172%
Pacific Source - All Other Plans	$136	1318%
Cigna	$139	1347%
Mountain Health Co-Op - All Plans	$143	1386%
Select Health Inc - All Other Plans	$143	1386%
UnitedHealthcare	$143	1386%
Multiplan - All Plans	$148	1434%
Three Rivers - All Plans	$148	1434%
Ichn, Llc - All Plans	$151	1463%

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 $113.
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 Steele Memorial Medical Center 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.