CMS Price Transparency Data
Culture, blood
Facility: Pawnee County Memorial Hospital
Billing Code: 87040 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$59
about 5.9× the $10 Medicare rate · typically $12–$138
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $59 Cash price $212 Hospital's list price $265
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $183 - $252 | 1773% |
| Blue Cross Blue Shieldmajor | $183 - $252 | 1773% |
| Aetnamajor | $183 - $249 | 1773% |
| Ambetter (Centene) | $246 | 2384% |
| Medica | $183 - $254 | 1773% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pawnee County Memorial Hospital
Compare: Culture, blood at other NE hospitals
- Lincoln Surgical Hospital · Lincoln $7
- The Nebraska Medical Center · Omaha $10
- Mary Lanning Healthcare · Hastings $10
- Fillmore County Hospital · Geneva $10
- Regional West Medical Center · Scottsbluff $11
- Columbus Community Hospital, Inc · Columbus $11
- Faith Regional Health Services · Norfolk $11
- Valley County Health System · Ord $11
Insurance negotiated median for the same procedure, sorted lowest first.