CMS Price Transparency Data
Culture, blood
Facility: Baptist Memorial Hospital North Ms
Billing Code: 87040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87040
- Insurance Median: $19
- Cash Discount Price: $80
- vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Baptist Memorial Hospital North Ms is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.84x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.
Cash / Self-Pay
$80
Average discount available for prompt cash payment at this facility.
Insurance Median
$19
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: $80 (775%)
Insurance Median: $19 (184%)
Cash: $80 (775% of Medicare)
Ins. Median: $19 (184% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ms Breast And Cervical | $10 | 97% |
| Triwest | $10 | 97% |
| Vaccn | $10 | 97% |
| Veterans Evaluation Services | $10 | 97% |
| Aetna | $11 - $226 | 107% |
| American Health Plan | $11 | 107% |
| Blue Cross Blue Shield | $11 - $19 | 107% |
| Devoted Health | $11 | 107% |
| Humana | $11 - $230 | 107% |
| Molina | $11 - $174 | 107% |
| Shared Health | $11 | 107% |
| Magnolia Ms | $14 | 136% |
| UnitedHealthcare | $14 | 136% |
| Brimhall Foods | $15 | 145% |
| First State Bank Trust | $18 | 174% |
| Advanced Health Systems Inc. | $19 | 184% |
| Arlington Community Schools | $19 | 184% |
| Armstrong Relocation | $19 | 184% |
| Ashley Furniture Stores | $19 | 184% |
| Bartlett City Schools | $19 | 184% |
| Building Plastic | $19 | 184% |
| Burch Food Services | $19 | 184% |
| Cannon Motor Company | $19 | 184% |
| Carlisle | $19 | 184% |
| City Of Bartlett | $19 | 184% |
| City Of Lakeland | $19 | 184% |
| Collierville Schools | $19 | 184% |
| Crittenden County | $19 | 184% |
| Davidson Hospitality | $19 | 184% |
| Delta Industries | $19 | 184% |
| Desoto Co Board Of Supervisors | $19 | 184% |
| Dunn Investment Company | $19 | 184% |
| Eas Mssc Schools | $19 | 184% |
| First Choice Health Plan Of Ms | $19 - $244 | 184% |
| First Community Bank | $19 | 184% |
| French Camp Academy | $19 | 184% |
| Gossett Motor Cars | $19 | 184% |
| Hattiesburg Clinic | $19 | 184% |
| Heartland Catfish Company | $19 | 184% |
| Heavy Machines | $19 | 184% |
| Hollowell Industries | $19 | 184% |
| Hospitality Management Advisors | $19 | 184% |
| Jas D Collier | $19 | 184% |
| Lakeland School System | $19 | 184% |
| Malco Theaters | $19 | 184% |
| Mechanical Systems | $19 | 184% |
| Mid-South Transport | $19 | 184% |
| Minact | $19 | 184% |
| Patterson Warehouses | $19 | 184% |
| Radians | $19 | 184% |
| Rei Nation | $19 | 184% |
| Retzer Resources | $19 | 184% |
| Ritchey Automotive | $19 | 184% |
| Security One | $19 | 184% |
| Silver Tree | $19 | 184% |
| State Systems | $19 | 184% |
| Town Of Collierville | $19 | 184% |
| United Tn Holdings | $19 | 184% |
| Vaughn Electric | $19 | 184% |
| W G Yates | $19 | 184% |
| W W Wood Products | $19 | 184% |
| Watkins Uiberall | $19 | 184% |
| Y K Auto Group | $19 | 184% |
| Employers Health Network | $21 | 203% |
| Harding Academy | $21 | 203% |
| Mpcn | $21 | 203% |
| Primewell | $29 | 281% |
| Ums Athletic Dept | $97 | 940% |
| Ppo Holdings | $132 | 1279% |
| Magnolia Regional Health Center | $139 | 1347% |
| Littler | $174 | 1686% |
| Cigna | $191 | 1851% |
| Multiplan | $261 | 2529% |
| Novasys | $261 | 2529% |
| Christian Health Aid | $278 | 2694% |
| Ppo Plus | $296 | 2868% |
| Qca | $313 | 3033% |