CMS Price Transparency Data
Culture, blood
Facility: Jefferson County Hospital
Billing Code: 87040 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$38
about 3.8× the $10 Medicare rate · typically $9–$105
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $38 Cash price $55 Hospital's list price $158
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 | $107 | 1037% |
| Blue Cross Blue Shieldmajor | $110 | 1066% |
| Aetnamajor | $134 | 1298% |
| Cignamajor | $142 | 1376% |
| Humanamajor | $85 | 824% |
| Friday Health | $92 | 891% |
| Health Net | $126 | 1221% |
| Healthcare Highways | $70 - $103 | 678% |
| Medica | $6 | 58% |
| + 2 smaller / regional plans | $142 - $145 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Jefferson County Hospital
Compare: Culture, blood at other OK hospitals
- Choctaw Memorial Hospital · Hugo $7
- Beaver County Memorial Hospital · Beaver $8
- Oklahoma Center for Orthopaedic & Multi-Sp · Oklahoma City $9
- Elkview General Hospital · Hobart $9
- Mercy Hospital Marietta · Marietta $9
- Mercy Hospital Oklahoma City, Inc · Oklahoma City $10
- Mercy Hospital Ada · Ada $10
- Mercy Hospital Ardmore, Inc · Ardmore $10
Insurance negotiated median for the same procedure, sorted lowest first.