CMS Price Transparency Data

Culture, blood

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $211
Cash Discount Price: $161
vs. Medicare Baseline: 20.45x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Cameron Memorial Community Hospital Inc is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 20.45x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$161

Average discount available for prompt cash payment at this facility.

Insurance Median

$211

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: $161 (1560%)

Insurance Median: $211 (2045%)

Cash: $161 (1560% of Medicare)

Ins. Median: $211 (2045% 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 2045% of the Medicare baseline (a markup of 1945%). 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	$10 - $123	97%
Caresource Indiana Of In	$10 - $99	97%
Managed Health Services	$10	97%
Mdwise	$10	97%
Aetna	$86 - $232	833%
Humana	$86 - $232	833%
UnitedHealthcare	$86 - $211	833%
Plain Church Group Ministry	$105	1017%
Centivo	$146	1415%
Lucent	$146	1415%
Phcs	$201	1948%
Php	$203	1967%
Sagamore Health Network	$207	2006%
Signature Care	$223 - $236	2161%
Three Rivers Preferred	$228	2209%
Cigna	$231	2238%
Coventry	$236	2287%
Lutheran Preferred	$241	2335%
Encore	$247	2393%
Frontpath	$247	2393%
Corvel	$249	2413%

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 $161.
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 Cameron Memorial Community Hospital Inc 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.