CMS Price Transparency Data
Culture, blood
Facility: Holzer Medical Center
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$37
about 3.7× the $10 Medicare rate · typically $12–$46
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $37 Cash price $67 Hospital's list price $133
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 | $33 - $86 | 320% |
| Blue Cross Blue Shieldmajor | $34 - $77 | 329% |
| Aetnamajor | $34 - $86 | 329% |
| Cignamajor | $86 | 833% |
| Humanamajor | $120 | 1163% |
| + 8 smaller / regional plans | $86 - $126 |
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Holzer Medical Center
Compare: Culture, blood at other OH hospitals
- Alliance Community Hospital · Alliance $9
- University Hospitals Samaritan Medical Center · Ashland $10
- Southern Ohio Medical Center · Portsmouth $10
- Marion General Hospital · Marion $10
- Wilson Memorial Hospital · Sidney $10
- Ohiohealth O'Bleness Hospital · Athens $10
- Wood County Hospital · Bowling Green $10
- Wooster Community Hospital · Wooster $10
Insurance negotiated median for the same procedure, sorted lowest first.