CMS Price Transparency Data
Culture, blood
Facility: SSM Health St. Mary's Hospital - Jefferson City
Billing Code: 87040 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$29
about 2.9× the $10 Medicare rate · typically $19–$32
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $29 Cash price $72 Hospital's list price $131
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $9 - $10 | 87% |
| Blue Cross Blue Shieldmajor | $10 - $64 | 97% |
| Humanamajor | $10 | 97% |
| Ambetter (Centene) | $10 | 97% |
| + 4 smaller / regional plans | $11 - $19 |
Self-Pay How to get the cash price
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Other Procedures at SSM Health St. Mary's Hospital - Jefferson City
Compare: Culture, blood at other MO hospitals
- Cedar County Memorial Hospital · El Dorado Springs $9
- Bates County Memorial Hospital · Butler $10
- Mercy Hospital Lebanon · Lebanon $10
- Golden Valley Memorial Hospital · Clinton $10
- Saint Francis Medical Center · Cape Girardeau $10
- Citizens Memorial Hospital · Bolivar $10
- Mercy Hospital - Cassville · Cassville $10
- Lafayette Regional Health Center · Lexington $10
Insurance negotiated median for the same procedure, sorted lowest first.