CMS Price Transparency Data

Culture, blood

Facility: Hillcrest Hospital Cushing

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $250
Cash Discount Price: $107
vs. Medicare Baseline: 24.22x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Hillcrest Hospital Cushing is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 24.22x the Medicare baseline. Located in 1027 East Cherry Street, Cushing, OK.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

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: $107 (1037%)

Insurance Median: $250 (2422%)

Cash: $107 (1037% of Medicare)

Ins. Median: $250 (2422% 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 2422% of the Medicare baseline (a markup of 2322%). 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
Black Lung [6055]	$89	862%
Healthcare Highways [2210]	$89 - $107	862%
Hooray Health [8000]	$89	862%
Lucent Health [6000]	$89	862%
Oncology Patient Assistance Programs [2295]	$89	862%
Oscar Insurance Company [7005]	$89	862%
Healthscope Benefits [2290]	$97	940%
UnitedHealthcare	$97 - $177	940%
Web Tpa [2115]	$107	1037%
Cigna	$175	1696%
Healthpartners [1500]	$175	1696%
National Association Of Letter Carriers [1695]	$175	1696%
Pba [1775]	$175	1696%
Global Health [1430]	$221	2141%
First Health [1375]	$247 - $314	2393%
Multiplan [1680]	$247 - $314	2393%
Healthcare Solutions [1485]	$253	2452%
Community Care [1290]	$296	2868%
Fmh Benefit Services [1390]	$296	2868%
Group Resources [1455]	$296	2868%
Phcs [1780]	$296 - $314	2868%
Healthsmart [1505]	$303	2936%
Administrative Concepts [1005]	$314	3043%
Allied Benefit Systems Inc [1030]	$314	3043%
Allied National Global Care [1035]	$314	3043%
Gilsbar [1425]	$314	3043%
Healthnet [1495]	$314	3043%
Mutual Of Omaha [1685]	$314	3043%
New Era Life Insurance Company [1705]	$314	3043%
Pan American Life Insurance Co [1770]	$314	3043%
Trustmark [2030]	$314	3043%
Universal Fidelity [2085]	$314	3043%
Pending Ssi [1616]	$357	3459%

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 $107.
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 Hillcrest Hospital Cushing 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.