CMS Price Transparency Data

Culture, blood

Facility: Ochsner Scott Regional

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $25
Cash Discount Price: $114
vs. Medicare Baseline: 2.42x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Ochsner Scott Regional is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 2.42x the Medicare baseline. Located in 317 Highway 13 South, Morton, MS.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $114 (1105%)

Insurance Median: $25 (242%)

Cash: $114 (1105% of Medicare)

Ins. Median: $25 (242% 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 242% of the Medicare baseline (a markup of 142%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$4 - $90	39%
Humana	$8 - $90	78%
Medicaid / KanCare	$9 - $10	87%
Cigna	$10 - $101	97%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$10 - $91	97%
Medicare (plans)	$10 - $104	97%
Primewell Health Services Commercial Exchange Plan	$10 - $109	97%
Primewell Health Services – Commercial	$10 - $109	97%
Shared Health Mississippi	$11 - $95	107%
Prime Health Services Ppo	$12 - $145	116%
Ambetter / Centene	$14 - $91	136%
Blue Cross Blue Shield	$18 - $19	174%
Cor Vel	$18	174%
Prime Health Services Ppo -Workers Comp	$18	174%
Aetna	$19 - $118	184%
Zelis	$24 - $136	233%
Claritev D/B/A Multiplan/Phcs/American Life Care	$25 - $136	242%
Select Administrative Services Network	$35 - $127	339%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $114.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Scott Regional is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.