CMS Price Transparency Data

Culture, blood

Facility: Curry General Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $166
Cash Discount Price: $175
vs. Medicare Baseline: 16.09x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Curry General Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 16.09x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$175

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $175 (1696%)

Insurance Median: $166 (1609%)

Cash: $175 (1696% of Medicare)

Ins. Median: $166 (1609% 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 1609% of the Medicare baseline (a markup of 1509%). 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
Medicaid / KanCare	$8 - $110	78%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$10	97%
Blue Cross Blue Shield	$12 - $175	116%
Tricare	$54	523%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$76	736%
Medicare (plans)	$76 - $114	736%
Department Of Corrections [1051]	$114	1105%
Coordinated Care Commercial [1649]	$149	1444%
Pacificsource [1148]	$149	1444%
Moda [512]	$150 - $158	1453%
Multiplan [1131]	$159	1541%
Asuris [1258]	$166	1609%
First Choice Health Admin [1294]	$166	1609%
First Choice [528]	$166	1609%
Operating Engineers [1144]	$166	1609%
Regence [1351]	$166 - $175	1609%
Cigna	$172 - $175	1667%
Coventry First Health Managed Care [1774]	$172	1667%
Coventry Health [1046]	$172	1667%
Providence Health Plan Plm Alt [1692]	$172	1667%
Providence Health Plan [567]	$172	1667%
Aetna	$175	1696%
Employee Bene Admin Mgmt [525]	$175	1696%
Geha [531]	$175	1696%
Mailhandlers Benefit Pln [547]	$175	1696%
Meritain [550]	$175	1696%
Nw Sheet Metal Workers [597]	$175	1696%
Trustmark [524]	$175	1696%
UnitedHealthcare	$175	1696%
Zenith Administrators [586]	$175	1696%
Allcare Alt [2598]	$300	2907%
Allcare [1695]	$300	2907%

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 $175.
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 Curry General Hospital 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.