CMS Price Transparency Data

Culture, blood

Facility: Deaconess Henderson Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $10
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Deaconess Henderson Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 0.97x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $23 (223%)
Insurance Median: $10 (97%)
Cash: $23 (223% of Medicare)
Ins. Median: $10 (97% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $5 - $10 48%
UnitedHealthcare $6 - $12 58%
Aetna $10 - $19 97%
Alliance Coal $10 - $11 97%
Caresource In $10 97%
Center Care Narrow $10 - $11 97%
Center Care Open Access $10 - $11 97%
Encircle/Encore Combined $10 - $16 97%
Encircle/Encore Prime $10 - $16 97%
Humana $10 97%
Iu Health Plans $10 - $19 97%
Medicaid / KanCare $10 97%
Medicare (plans) $10 97%
Mhs Mco $10 97%
Molina Healthcare Of Ky $10 97%
Molina Healthcare Of Ky - Exchange $10 97%
Mytru Advantage $10 97%
One Care $10 97%
Umwa $10 97%
Wellcare Il $10 97%
Wellcare Ky $10 - $12 97%
Caresource In Marketplace $13 - $15 126%
Wellcare Ky Commercial Exchange $13 - $21 126%
Hopetrust $14 - $40 136%
Hstechnology $14 - $40 136%
Amish And Mennonite Of Western Ky $15 - $44 145%
Noncontracted $17 165%
First Health Network (Coventry) $19 184%
Healthlink $19 184%
Phcs/Multiplan $19 184%
Sagamore $19 184%
Ky Racing Health & Welfare Fund $23 223%
Self-Pay $23 223%
Claimdoc $25 - $40 242%
Cigna $40 388%
Coventry National Network $54 523%
Webster County Detention Center $54 523%
Henderson County Detention Center $60 581%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals