CMS Price Transparency Data

Culture, blood

Facility: Oakdale Community Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $17
  • Cash Discount Price: $54
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Oakdale Community Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.65x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$54

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $54 (523%)
Insurance Median: $17 (165%)
Cash: $54 (523% of Medicare)
Ins. Median: $17 (165% 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
Aarp $9 87%
All Savers Insurance $9 87%
Geha $9 87%
United Hc Shared Services $9 87%
UnitedHealthcare $9 - $60 87%
Aetna $10 - $152 97%
Allegiance Hospice $10 97%
Allen Oaks Hospice $10 97%
Ambetter / Centene $10 97%
Blue Cross Blue Shield $10 - $17 97%
Champva $10 97%
Compassionate Care Hospic $10 97%
Correct Care $10 - $270 97%
Golden Rule $10 97%
Harbor Hospice $10 97%
Healthy Blue Dual Adv $10 97%
Heart Of Hospice $10 97%
Hos Misc Hospice $10 97%
Humana $10 - $170 97%
Ice Health Service Corp $10 97%
Mcr American Hlth Adv $10 97%
Mcr Lagniappe $10 97%
Medicaid / KanCare $10 - $60 97%
Medicare (plans) $10 97%
Mutual Of Omaha $10 97%
Snf Nursing Home $10 97%
St Francis Nursing Home $10 97%
Triwest $10 - $270 97%
Us Family Health Plan $10 - $270 97%
Wellcare $10 97%
Wellcare Of Louisiana $10 97%
Gulf South Risk Svcs Ip $13 126%
Integrated Med Solutions $14 136%
Hawaii Mainland Administr $15 145%
Meritain $17 - $152 165%
Amfirst $54 523%
Self Pay $54 523%
Web-Tpa $135 1308%
Cigna $147 - $153 1424%
Ima $162 - $270 1570%
Ppo Plus $162 1570%
Wc Gulf South Risk Srvcs $243 2355%
Wc Martco $243 2355%
Wc Misc $243 2355%
Wc Risk Mgmnt-Baton Rouge $243 2355%
Wc Sedwick Workmans Comp $243 2355%
Wc Us Department Of Labor $243 2355%
American Public Life $270 2616%
American Retirement Life $270 2616%
Apwu $270 2616%
Auto Liability $270 2616%
Bankers Life $270 2616%
Fox Everitt $270 2616%
Mailhandlers Benefit Plan $270 2616%
Medishare $270 2616%
Medplus $270 2616%
Misc Commerical $270 2616%
Phcs $270 2616%
Physicians Mutual $270 2616%
State Farm-La $270 2616%
Usaa $270 2616%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 N Hospital Dr, Oakdale, LA 71463
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals