CMS Price Transparency Data
Culture, blood
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$33
about 3.3× the $10 Medicare rate · typically $11–$61
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $33 Cash price $130 Hospital's list price $130
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 - $277 | 320% |
| Blue Cross Blue Shieldmajor | $33 - $277 | 320% |
| Aetnamajor | $33 - $277 | 320% |
| Cignamajor | $33 - $277 | 320% |
| Humanamajor | $33 - $277 | 320% |
| Ambetter (Centene) | $33 - $277 | 320% |
| CareSource | $33 - $277 | 320% |
| Devoted Health | $33 - $277 | 320% |
| Medical Mutual | $18 - $277 | 174% |
| Molina | $33 - $277 | 320% |
| UPMC Health Plan | $33 - $277 | 320% |
| + 1 smaller / regional plan | $22 - $188 |
Government programs also on file: Medicare, 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 Mercy Health Rehabilitation Hospital
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.