CMS Price Transparency Data

Culture, blood

Facility: Frankfort Regional Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $10
  • Cash Discount Price: $507
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Frankfort Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $507. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 0.97x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.
Cash / Self-Pay
$507

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: $507 (4913%)
Insurance Median: $10 (97%)
Cash: $507 (4913% 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 $9 - $10 87%
Aetna $10 97%
Coventry Cares $10 97%
Devoted Health $10 97%
Humana $10 - $140 97%
Molina $10 97%
United $10 - $228 97%
United Behavioral Health $10 97%
United Va $10 97%
Wellcare $10 - $12 97%
Horizon Pace $11 107%
Corvel $81 785%
Prime Health $81 785%
Signature Advantage $96 930%
Cigna $149 1444%
Essence Healthcare $228 2209%
Baptist Health Network $274 2655%
Hospice Of Central Kentucky $319 3091%
Occupational Mc Alliance $406 3934%
Multiplan $482 4671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 299 Kings Daughters Drive, Frankfort, KY 40601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals