CMS Price Transparency Data

Culture, blood

Facility: North Oaks Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $11
Cash Discount Price: $23
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Culture, blood at North Oaks Medical Center is $11. 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 1.07x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $11 (107%)

Cash: $23 (223% of Medicare)

Ins. Median: $11 (107% 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.

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
Aetna	$10 - $242	97%
Allwell	$10	97%
Blue Advantage	$10	97%
Champva	$10	97%
Healthy Blue Dual Advantage	$10	97%
Humana	$10 - $214	97%
Mco Lhc	$10	97%
Peoples Health	$10	97%
Tricare	$10	97%
UnitedHealthcare	$10 - $88	97%
Vantage 65	$10	97%
Veterans Administration	$10	97%
Wellcare	$10	97%
Mco Hb	$11	107%
Mco Lacare Am	$11	107%
Medicaid / KanCare	$11	107%
Blue Cross Blue Shield	$23	223%
Coventry	$185	1793%
Verity Healthnet	$185	1793%
Ppoplus Llc	$200	1938%
Multiplan	$214	2074%
Cigna	$225	2180%

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 $23.
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 North Oaks Medical Center 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.