CMS Price Transparency Data

Culture, blood

Facility: Hendricks Regional Health

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $79
Cash Discount Price: $48
vs. Medicare Baseline: 7.66x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Hendricks Regional Health is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 7.66x the Medicare baseline. Located in 1000 E Main St, Danville, IN.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

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: $48 (465%)

Insurance Median: $79 (766%)

Cash: $48 (465% of Medicare)

Ins. Median: $79 (766% 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 766% of the Medicare baseline (a markup of 666%). 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
Blue Cross Blue Shield	$9 - $20	87%
Humana	$10 - $100	97%
Va Ccn	$10	97%
Aetna	$11 - $114	107%
Caresource Exchange	$11	107%
Medicare (plans)	$11	107%
Ambetter / Centene	$21	203%
UnitedHealthcare	$73 - $86	707%
Encore Encircle Network	$85	824%
Sagamore Health Incumbent Program	$87	843%
Cigna	$90	872%
Sagamorehealth Network	$94	911%
Siho Commercial Network	$97	940%
Multiplan	$106	1027%
Encore Health Network	$110	1066%
Multiplan/Beech Street	$115	1114%
Multiplan/ Complementary	$116	1124%

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 $48.
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 Hendricks Regional Health 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.