CMS Price Transparency Data

Culture, blood

Facility: Baptist Medical Center-Yazoo

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $92
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 8.91x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Baptist Medical Center-Yazoo is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 8.91x the Medicare baseline. Located in 823 Grand Avenue, Yazoo City, MS.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $62 (601%)
Insurance Median: $92 (891%)
Cash: $62 (601% of Medicare)
Ins. Median: $92 (891% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 891% of the Medicare baseline (a markup of 791%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Magnolia Ms $10 - $54 97%
Veterans Evaluation Services $10 97%
Molina $11 - $95 107%
Advanced Health Systems Inc. $19 184%
Blue Cross Blue Shield $19 - $53 184%
Tricare $49 475%
Ms Breast And Cervical $51 494%
Triwest $51 494%
Vaccn $51 494%
Devoted Health $52 504%
Aetna $54 - $76 523%
American Health Plan $54 523%
Cigna $54 523%
Humana $54 - $136 523%
Primewell $54 523%
Shared Health $54 523%
Wellcare $54 523%
Ppo Holdings $57 552%
Magnolia Regional Health Center $60 581%
Littler $76 736%
UnitedHealthcare $76 736%
First State Bank Trust $87 843%
Armstrong Relocation $92 891%
Ashley Furniture Stores $92 891%
Brimhall Foods $92 891%
Building Plastic $92 891%
Burch Food Services $92 891%
Cannon Motor Company $92 891%
Carlisle $92 891%
Crittenden County $92 891%
Davidson Hospitality $92 891%
Delta Industries $92 891%
Desoto Co Board Of Supervisors $92 891%
Dunn Investment Company $92 891%
First Choice Health Plan Of Ms $92 891%
First Community Bank $92 891%
French Camp Academy $92 891%
Gossett Motor Cars $92 891%
Hattiesburg Clinic $92 891%
Heartland Catfish Company $92 891%
Heavy Machines $92 891%
Hospitality Management Advisors $92 891%
Jas D Collier $92 891%
Malco Theaters $92 891%
Mechanical Systems $92 891%
Mid-South Transport $92 891%
Minact $92 891%
Patterson Warehouses $92 891%
Radians $92 891%
Rei Nation $92 891%
Retzer Resources $92 891%
Ritchey Automotive $92 891%
Security One $92 891%
Silver Tree $92 891%
State Systems $92 891%
United Tn Holdings $92 891%
Vaughn Electric $92 891%
W W Wood Products $92 891%
Watkins Uiberall $92 891%
Y K Auto Group $92 891%
W G Yates $101 979%
Employers Health Network $103 998%
Harding Academy $103 998%
Multiplan $106 1027%
Ppo Plus $106 1027%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 823 Grand Avenue, Yazoo City, MS 39194
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals