CMS Price Transparency Data

Culture, blood

Facility: Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $53
Cash Discount Price: $133
vs. Medicare Baseline: 5.14x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 5.14x the Medicare baseline. Located in 200 Abraham Flexner Way, Louisville, KY.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $133 (1289%)

Insurance Median: $53 (514%)

Cash: $133 (1289% of Medicare)

Ins. Median: $53 (514% 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 514% of the Medicare baseline (a markup of 414%). 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 - $127	87%
Aetna	$10 - $56	97%
Essence Health	$10	97%
Humana	$10 - $56	97%
Passport	$10 - $148	97%
Senior Care Community Of Ky	$10	97%
Signature	$10 - $11	97%
UnitedHealthcare	$10 - $141	97%
Va Ccn	$10	97%
Communicare	$11	107%
Communicare Med Adv Fy	$11	107%
Devoted	$11 - $88	107%
Wellcare	$11 - $53	107%
Key Benefit Administrators	$13	126%
Velocity	$13 - $289	126%
Cigna	$17	165%
Prime Group Health	$105 - $251	1017%
Encore	$177	1715%
Multiplan	$195 - $266	1890%
Omca	$280	2713%
Corvel	$295	2859%
Cshn	$295	2859%
Health Smart	$295	2859%
National Comp Care	$295	2859%

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 $133.
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 Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital 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.