CMS Price Transparency Data
Culture, blood
Facility: Avoyelles Hospital
Billing Code: 87040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87040
- Insurance Median: $153
- Cash Discount Price: $77
- vs. Medicare Baseline: 14.83x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Avoyelles Hospital is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 14.83x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$77
Average discount available for prompt cash payment at this facility.
Insurance Median
$153
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: $77 (746%)
Insurance Median: $153 (1483%)
Cash: $77 (746% of Medicare)
Ins. Median: $153 (1483% 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 1483% of the Medicare baseline (a markup of 1383%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 - $144 | 97% |
| Bankers Life | $10 | 97% |
| Champva | $10 | 97% |
| Cigna | $10 - $144 | 97% |
| Correct Cr Int Hlt | $10 - $53 | 97% |
| Humana | $10 - $145 | 97% |
| Mcd Amerihealth Caritas | $10 - $53 | 97% |
| Mcd Healthy Blue | $10 - $53 | 97% |
| Mcd La Hc Conn | $10 - $53 | 97% |
| Mcr Lagniappe | $10 | 97% |
| Medeico Ins Co | $10 | 97% |
| Medicaid / KanCare | $10 - $53 | 97% |
| Medicare (plans) | $10 | 97% |
| Mmc Allwell | $10 | 97% |
| Mmc Blue Advantage | $10 | 97% |
| Mmc Healthy Blue Dual Adv | $10 | 97% |
| Mmc Mcr Hmo Miscellaneous | $10 | 97% |
| Mmc Priority Hlth Pffs | $10 | 97% |
| Mmc Vantage Hlth | $10 | 97% |
| Mmc Wellcare | $10 | 97% |
| Mutual Of Omaha | $10 | 97% |
| Neba Inc | $10 | 97% |
| Philadelphia American Lif | $10 | 97% |
| Sentinel Security Life | $10 | 97% |
| Trustmark Health Benefits | $10 - $256 | 97% |
| Tunica Biloxi | $10 - $256 | 97% |
| United Amer Ins | $10 | 97% |
| UnitedHealthcare | $10 - $53 | 97% |
| Veterans Evaluation Serv | $10 | 97% |
| Wps Vacca | $10 | 97% |
| Mcd Ms | $11 - $58 | 107% |
| All Savers | $13 | 126% |
| Geha | $13 | 126% |
| Gulf South Zelis | $13 | 126% |
| United Hlth One | $13 | 126% |
| Amer Contl Ins | $16 - $144 | 155% |
| Blue Cross Blue Shield | $16 | 155% |
| Coventry | $16 - $144 | 155% |
| First Choice Health | $16 - $144 | 155% |
| Meritan Health | $16 - $256 | 155% |
| Ofc Of Grp Bene | $16 | 155% |
| Student Assurances | $77 - $256 | 746% |
| Ppo Plus Llc | $153 | 1483% |
| Zelis Healthcare Bpa | $153 | 1483% |
| Gilsbar | $161 | 1560% |
| Amerind | $230 | 2229% |
| Applied Underwriters | $230 | 2229% |
| Sedgwick | $230 | 2229% |
| Us Dept Of Labor | $230 | 2229% |
| Wc Clms Admin Svcs | $230 | 2229% |
| Wc Clms Mgmnt Walmart | $230 | 2229% |
| Wc Esis | $230 | 2229% |
| Wc Fara | $230 | 2229% |
| Wc Gallagher Bassett | $230 | 2229% |
| Wc Guide One | $230 | 2229% |
| Wc Hartford Med | $230 | 2229% |
| Wc Luba | $230 | 2229% |
| Wc Lwcc | $230 | 2229% |
| Wc Paragon Casino Resort | $230 | 2229% |
| Wc Risk Mgmnt | $230 | 2229% |
| Wc Stone Trust | $230 | 2229% |
| Wc Summit Consulting Hold | $230 | 2229% |
| Wc Travelers Ins | $230 | 2229% |
| Wc Trs Workers Comp Claim | $230 | 2229% |
| Wc Us Dol | $230 | 2229% |
| Wc Zurich | $230 | 2229% |
| Aarp | $256 | 2481% |
| Admin Concepts | $256 | 2481% |
| All Saints Hospice | $256 | 2481% |
| All State | $256 | 2481% |
| Allegiance Health Hospice | $256 | 2481% |
| Allied Natl | $256 | 2481% |
| Amfirst | $256 | 2481% |
| Avoy Parish School Board | $256 | 2481% |
| Avoyelles Parish Sheriff | $256 | 2481% |
| Bollinger | $256 | 2481% |
| Ccmsi | $256 | 2481% |
| Central States | $256 | 2481% |
| Christus Health Plan | $256 | 2481% |
| Compassionate Care Hospic | $256 | 2481% |
| Core Source | $256 | 2481% |
| Coushatta Hlth Dept | $256 | 2481% |
| Ebms | $256 | 2481% |
| Federated Ins | $256 | 2481% |
| Feedom Life | $256 | 2481% |
| Fidelity Standard Life Co | $256 | 2481% |
| Fox Everette | $256 | 2481% |
| Guarantee Trust | $256 | 2481% |
| Heart Of Hospice | $256 | 2481% |
| Hos Christus Hospice | $256 | 2481% |
| Hos Guardian Hospice Care | $256 | 2481% |
| Hos Harbor Hospice Alex | $256 | 2481% |
| Hos La Hospice Palliative | $256 | 2481% |
| Hos Passages Hospice N. | $256 | 2481% |
| Hos St Joseph Hospice | $256 | 2481% |
| Hospice Miscellaneous | $256 | 2481% |
| Ins Mgmnt Admin | $256 | 2481% |
| Ins Tpa | $256 | 2481% |
| Liberty Health Share | $256 | 2481% |
| Lumico | $256 | 2481% |
| Manhattan Life Ins | $256 | 2481% |
| Medi Share | $256 | 2481% |
| Misc Comm | $256 | 2481% |
| Nalc | $256 | 2481% |
| New Era Life | $256 | 2481% |
| North American | $256 | 2481% |
| Phcs | $256 | 2481% |
| Physicians Mutual | $256 | 2481% |
| Pipeline Ind Bene | $256 | 2481% |
| Progressive Auto | $256 | 2481% |
| Reliance Standard Life | $256 | 2481% |
| Rural Carriers | $256 | 2481% |
| Shelter Ins Co | $256 | 2481% |
| Sierre Health And Life | $256 | 2481% |
| State Farm | $256 | 2481% |
| State Mutual | $256 | 2481% |
| Sterling Investors | $256 | 2481% |
| The Health Plan | $256 | 2481% |
| Tribal Hlth Partners | $256 | 2481% |
| Tricare | $256 | 2481% |
| Uct | $256 | 2481% |
| Unified Life | $256 | 2481% |
| Usaa Life Ins | $256 | 2481% |
| Web-Tpa | $256 | 2481% |
| Woodmen Of The World | $256 | 2481% |