CMS Price Transparency Data

Culture, blood

Facility: Rapides Regional Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $16
  • Cash Discount Price: $411
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Rapides Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $411. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.55x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.
Cash / Self-Pay
$411

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $411 (3983%)
Insurance Median: $16 (155%)
Cash: $411 (3983% of Medicare)
Ins. Median: $16 (155% 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
Aetna $10 - $38 97%
Amerihealth Mercy La Lacare $10 97%
Blue Cross Blue Shield $10 - $22 97%
Devoted Health $10 97%
Humana $10 - $14 97%
Triwest Healthcare Alliance $10 97%
United $10 - $151 97%
United Va Ccn $10 97%
Vantage Health Plan $10 - $27 97%
Amerigroup $11 107%
Dignity Care Corporation $11 107%
Louisiana Healthcare Connections, Inc. $11 107%
Wellcare $11 107%
Medical Development International $12 116%
Universal Healthcare $12 116%
Allegiance Health Management $19 184%
Verity $44 - $203 426%
Cigna $46 - $211 446%
Ppo Plus $55 - $257 533%
Louisiana Workers Compensation Corporation $72 - $331 698%
Gilsbar 360 $77 - $358 746%
Multiplan $79 - $392 766%
Dma Regional Ppo $102 - $473 988%
Employers Health Network $102 - $473 988%
First Health $102 - $473 988%
Healthsouth Corporation $102 - $473 988%
Plan Vista Solutions (Nppn) $114 - $527 1105%
Bestcomp $118 - $547 1143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 4Th Street, Alexandria, LA 71301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals