CMS Price Transparency Data

Culture, blood

Facility: Ascension Providence Rochester Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11
about 1.1× the $10 Medicare rate · typically $10–$13
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $10 Fair price $11 This hospital $10 Cash price $39 Hospital's list price $84

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 $10

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Culture, blood is about $11 (about 1.1× the $10 Medicare rate). Ascension Providence Rochester Hospital charges insurers about $10, or about $39 in cash — about the fair price. Located in Rochester, MI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $10 - $13 97%
Aetnamajor $12 116%
Humanamajor $10 97%
Meridian $13 126%
Priority Health $10 97%
+ 7 smaller / regional plans $6 - $20
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1101 W University Drive, Rochester, MI 48307
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals