CMS Price Transparency Data

Culture, blood

Facility: Munson Healthcare Grayling Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $18
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Munson Healthcare Grayling Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.74x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $59 (572%)
Insurance Median: $18 (174%)
Cash: $59 (572% of Medicare)
Ins. Median: $18 (174% 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
Blue Cross Blue Shield $5 - $13 48%
Mclaren Health Plan $5 - $39 48%
Meridian $5 48%
Molina $5 - $11 48%
Priority Health $5 - $45 48%
UnitedHealthcare $5 - $41 48%
Aetna $10 - $52 97%
Atrium King Centre Skilled Nursing Services $10 97%
Blue Care Network $10 97%
Hap (Health Alliance Plan) $10 - $55 97%
Humana $10 97%
Medicare (plans) $10 97%
Michigan Amish Medical Board $10 97%
Northern Michigan Mennonite Group $10 97%
Promedica $10 97%
Wellcare (Meridian) $10 97%
Wellspring Lutheran Services Skilling Nursing Services $10 97%
Cigna $11 - $45 107%
Cofinity $11 - $54 107%
Employee Benefits Logistics $18 174%
Hospice Of Michigan $41 397%
Munson Hospice $48 - $852 465%
Asr/Physicians Care $55 533%
Medical Cost Savings Solution $55 533%
Nomi Health $55 533%
The Robbins Group And Regency Employee Benefits $55 533%
Wds Enterprise Group Planning $55 533%
First Health/Coventry Network $59 572%
Provider Network Of America Group Health $59 572%
Three Rivers Provider Network $59 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals