CMS Price Transparency Data

Culture, blood

Facility: Ochsner Medical Center-Hancock

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $11
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Ochsner Medical Center-Hancock is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.07x the Medicare baseline. Located in 149 Drinkwater Blvd, Bay Saint Louis, MS.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $17 (165%)
Insurance Median: $11 (107%)
Cash: $17 (165% of Medicare)
Ins. Median: $11 (107% 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
Humana $7 - $10 68%
Medicaid / KanCare $9 - $10 87%
Aetna $10 - $36 97%
Cigna $10 - $18 97%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $10 97%
Medicare (plans) $10 - $11 97%
UnitedHealthcare $10 97%
Shared Health Mississippi $11 107%
Ambetter / Centene $17 165%
Blue Cross Blue Shield $18 - $19 174%
Mississippi Physicians Care Network $22 213%
Zelis $23 223%
Claritev D/B/A Multiplan/Phcs/American Life Care $29 281%
Primewell Health Services Commercial Exchange Plan $29 281%
Primewell Health Services – Commercial $29 281%
Healthcomp & Personify Health (Formerly Gilsbar) $32 310%
Select Administrative Services Network $32 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 149 Drinkwater Blvd, Bay Saint Louis, MS 39520
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals