CMS Price Transparency Data

Culture, blood

Facility: Poplar Bluff Regional Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $10
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Poplar Bluff Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 0.97x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $129 (1250%)
Insurance Median: $10 (97%)
Cash: $129 (1250% of Medicare)
Ins. Median: $10 (97% 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
Medicaid / KanCare $2 - $244 19%
Self Pay $2 - $292 19%
Blue Cross Blue Shield $3 - $316 29%
Access Health Services, Llc $6 - $694 58%
Cigna $6 - $975 58%
Evolutions Healthcare $6 - $664 58%
Healthlink $6 - $761 58%
Parker Hannifin $6 - $853 58%
Tyson Foods $6 - $670 58%
UnitedHealthcare $6 - $655 58%
First Health $7 - $792 68%
Blue Traditional $8 - $940 78%
Coventry Wc $8 - $975 78%
Municipal Health $8 - $975 78%
Compresults Wc $9 - $1,096 87%
Multiplan $9 - $1,060 87%
Node Champva $9 87%
Phcs $9 - $1,060 87%
Tricare $9 87%
Blue Access $10 97%
Centurion Correctional $10 - $13 97%
Humana $10 97%
Medicare (plans) $10 97%
Node Hospice Non Par Agree $10 97%
Node United Behavioral Health Mcr Adv $10 97%
Node Va $10 97%
Veterans Eval Services $10 97%
Node Ahs Mcr Adv $11 107%
Node Devoted Health Mcr Adv $11 107%
Node Pphp Mcr Adv $12 116%
Us Department Of Labor $13 126%
Naphcare $20 194%
Home State Exchange $26 252%
W W Wood $26 252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals