CMS Price Transparency Data

Culture, blood

Facility: Bienville Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $35
Cash Discount Price: $39
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Bienville Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 3.39x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

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: $39 (378%)

Insurance Median: $35 (339%)

Cash: $39 (378% of Medicare)

Ins. Median: $35 (339% 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 339% of the Medicare baseline (a markup of 239%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$4 - $65	39%
Medicaid / KanCare	$4 - $10	39%
Mmd Amerihealth Caritas	$4 - $10	39%
Mmd Healthy Blue	$4 - $10	39%
Mmd La Hlth Conn	$4 - $10	39%
Mmd Misc	$4 - $10	39%
UnitedHealthcare	$4 - $35	39%
Ambetter / Centene	$10 - $35	97%
Humana	$10 - $42	97%
Mcr American Hlth Adv	$10 - $35	97%
Medicare (plans)	$10 - $35	97%
Misc Mgd Care	$10 - $65	97%
Mmc Blue Advantage	$10 - $35	97%
Mmc Misc	$10 - $35	97%
Peoples Health Mcr Adv	$10 - $35	97%
Va Health	$10 - $35	97%
Cashiering	$26 - $39	252%
Cigna	$32	310%
Blue Cross Blue Shield	$39	378%
Wc City Of Arcadia	$58	562%
Wc House Of Raeford	$58	562%
Wc Misc	$58	562%
Wc Stonetrust	$58	562%
Aarp	$65	630%
Allegiance Health Managme	$65	630%
Amfirst	$65	630%
Apwu	$65	630%
Liberty Mutual	$65	630%
Misc Comm A-L	$65	630%
Misc Comm M-Z	$65	630%
Tricare	$65	630%

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 $39.
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 Bienville 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.