CMS Price Transparency Data
Culture, blood
Facility: University Medical Center
Billing Code: 87040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87040
- Insurance Median: $12
- Cash Discount Price: $221
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, blood at University Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.16x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$221
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
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: $221 (2141%)
Insurance Median: $12 (116%)
Cash: $221 (2141% of Medicare)
Ins. Median: $12 (116% 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 |
|---|---|---|
| Aig | $2 - $421 | 19% |
| Beech Street | $2 - $421 | 19% |
| Cement Masons & Plasters H&W | $2 - $227 | 19% |
| Blue Cross Blue Shield | $5 - $10 | 48% |
| Boyd Group | $5 - $227 | 48% |
| Bricklayers Local 13 | $5 - $227 | 48% |
| Caesar'S Entertainment | $5 - $227 | 48% |
| California Ironwork Field Welfare | $5 | 48% |
| Cigna | $5 - $17 | 48% |
| Cirque De Soleil | $5 - $17 | 48% |
| City Of North Las Vegas | $5 - $227 | 48% |
| Electrical Workers | $5 - $227 | 48% |
| Great West Healthcare | $5 - $17 | 48% |
| Kaiser | $5 - $17 | 48% |
| Laborers Health And Welfare | $5 - $227 | 48% |
| National Security Technologies | $5 - $17 | 48% |
| Operating Engineers | $5 - $227 | 48% |
| Plumbers & Pipefitters Loc 525 | $5 - $227 | 48% |
| Sheet Metal Workers | $5 | 48% |
| So Ca Pipe Trades H&W | $5 | 48% |
| Southwest Carpenters H&W | $5 | 48% |
| Teamsters Local 14 | $5 - $227 | 48% |
| Teamsters Local 631 | $5 - $227 | 48% |
| Teamsters Local 986 | $5 - $227 | 48% |
| Ufcw Local 711 Retail Clerks | $5 - $227 | 48% |
| Ambetter / Centene | $7 - $16 | 68% |
| Molina | $7 - $18 | 68% |
| Sierra Health And Life | $7 - $438 | 68% |
| Advantra Freedom | $10 | 97% |
| Aetna | $10 - $379 | 97% |
| Alignment Health | $10 - $11 | 97% |
| Allwell | $10 | 97% |
| American Postal Workers Health Plan | $10 - $13 | 97% |
| Arroweye Solutions | $10 - $438 | 97% |
| City Of Henderson | $10 - $227 | 97% |
| Clark County Epo | $10 - $227 | 97% |
| Clark County Self Funded | $10 - $227 | 97% |
| Dignity Health | $10 - $438 | 97% |
| Golden Entertainment | $10 - $438 | 97% |
| Golden Nugget Hotel & Casino | $10 - $438 | 97% |
| Healthcare Partners Of Nevada | $10 | 97% |
| Las Vegas Firefighters 1285 | $10 - $227 | 97% |
| Las Vegas Metro Police Dept | $10 - $227 | 97% |
| Las Vegas Sand Corps | $10 - $13 | 97% |
| Marshall Retail Group | $10 - $438 | 97% |
| Mgm Grand | $10 - $227 | 97% |
| Mirage Las Vegas | $10 - $227 | 97% |
| P3 Health Partners | $10 - $438 | 97% |
| P3 Health Partners Nevada | $10 | 97% |
| Pli Las Vegas | $10 - $438 | 97% |
| Rebel Oil Company | $10 - $438 | 97% |
| Resorts World Las Vegas | $10 - $227 | 97% |
| Scan | $10 - $11 | 97% |
| Selecthealth | $10 - $15 | 97% |
| State Of Nevada | $10 - $438 | 97% |
| Stations Casinos | $10 - $438 | 97% |
| Surest | $10 - $13 | 97% |
| Switch | $10 - $227 | 97% |
| Teacher'S Health Trust | $10 - $438 | 97% |
| Truline Corporation | $10 - $438 | 97% |
| UnitedHealthcare | $10 - $13 | 97% |
| Va Pc3 (Va Choice) | $10 | 97% |
| Venetian/Palazzo | $10 - $438 | 97% |
| Wynn Resorts | $10 - $227 | 97% |
| Clark County Firefighters 1908 | $11 - $227 | 107% |
| Coventry | $11 - $15 | 107% |
| Employee Painters Trust | $11 - $227 | 107% |
| Geha | $11 - $15 | 107% |
| Mail Handlers Benefit Plan | $11 - $15 | 107% |
| Nevada Energy | $11 - $15 | 107% |
| First Health | $12 - $18 | 116% |
| Health Net | $12 - $716 | 116% |
| Three Rivers Provider Network | $12 - $18 | 116% |
| Culinary Workers Hwf | $13 - $227 | 126% |
| Hometown Health Plan Nevada | $15 | 145% |
| Jw Marriott | $15 - $19 | 145% |
| Nevada Preferred Professionals | $15 - $21 | 145% |
| One Health Plan | $15 - $269 | 145% |
| Prominence Health Plan | $15 - $21 | 145% |
| Universal Health Network (Uhn) | $15 - $21 | 145% |
| Health Direct Partners | $17 | 165% |
| Nevada Hand | $227 | 2200% |
| Laughlin Coalition | $228 - $328 | 2209% |
| Clark County Detention Center | $253 | 2452% |
| Hometown Health Plan Of Nevada | $269 | 2607% |
| Zuffa | $351 - $505 | 3401% |