CMS Price Transparency Data

Culture, blood

Facility: Trinity Health Oakland Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$10
about 1.0× the $10 Medicare rate · typically $10–$13
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
About the fair price
about $1 over the fair price · 1.1× Medicare
Medicare pays $10 Fair price $10 This hospital $11 Hospital's list price $170

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $8 Priciest $11

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Culture, blood is about $10 (about 1.0× the $10 Medicare rate). Trinity Health Oakland Hospital charges insurers about $11 — about the fair price. Located in Pontiac, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $11 - $128 107%
Blue Cross Blue Shieldmajor $6 - $11 58%
Aetnamajor $10 - $128 97%
Cignamajor $126 1221%
Humanamajor $125 1211%
Kaiser Permanentemajor $11 107%
AmeriHealth $125 1211%
CareSource $19 184%
Dean Health Plan $116 1124%
GEHA $15 - $128 145%
Health Net $170 1647%
HealthPartners $124 1202%
MagnaCare $125 1211%
Medical Mutual $15 145%
Molina $13 126%
MVP Health Care $116 1124%
Paramount $116 1124%
Priority Health $9 - $10 87%
Tufts Health Plan $124 1202%
UniCare $125 1211%
+ 136 smaller / regional plans $10 - $170
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals