CMS Price Transparency Data

Culture, blood

Facility: Baptist Memorial Hospital - Carroll County

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $19
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Baptist Memorial Hospital - Carroll County is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.84x the Medicare baseline. Located in 631 Rb Wilson Dr, Huntingdon, TN.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $80 (775%)
Insurance Median: $19 (184%)
Cash: $80 (775% of Medicare)
Ins. Median: $19 (184% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Wellpoint $9 - $11 87%
Cigna $10 - $22 97%
Humana $10 - $229 97%
Oscar $10 97%
Triwest $10 97%
Vaccn $10 97%
Veterans Evaluation Services $10 97%
Aetna $11 - $217 107%
American Health Plan $11 107%
Blue Cross Blue Shield $11 - $39 107%
Shared Health $11 107%
Arlington Community Schools $16 155%
Bartlett City Schools $17 165%
City Of Bartlett $17 165%
City Of Lakeland $17 165%
Collierville Schools $17 165%
Eas Mssc Schools $17 165%
Lakeland School System $17 165%
Magnolia Tn $17 165%
Town Of Collierville $17 165%
First State Bank Trust $18 174%
Armstrong Relocation $19 184%
Ashley Furniture Stores $19 184%
Brimhall Foods $19 184%
Building Plastic $19 184%
Burch Food Services $19 184%
Cannon Motor Company $19 184%
Carlisle $19 184%
Crittenden County $19 184%
Davidson Hospitality $19 184%
Desoto Co Board Of Supervisors $19 184%
Dunn Investment Company $19 184%
First Choice Health Plan Of Ms $19 - $243 184%
First Community Bank $19 184%
French Camp Academy $19 184%
Gossett Motor Cars $19 184%
Hattiesburg Clinic $19 184%
Heartland Catfish Company $19 184%
Heavy Machines $19 184%
Hollowell Industries $19 184%
Hospitality Management Advisors $19 184%
Jas D Collier $19 184%
Malco Theaters $19 184%
Mechanical Systems $19 184%
Mid-South Transport $19 184%
Patterson Warehouses $19 184%
Radians $19 184%
Rei Nation $19 184%
Retzer Resources $19 184%
Ritchey Automotive $19 184%
Security One $19 184%
Silver Tree $19 184%
State Systems $19 184%
United Tn Holdings $19 184%
Vaughn Electric $19 184%
W G Yates $19 184%
W W Wood Products $19 184%
Watkins Uiberall $19 184%
Y K Auto Group $19 184%
Employers Health Network $21 203%
Harding Academy $21 203%
Ppo Holdings $132 1279%
Magnolia Regional Health Center $139 1347%
Littler $174 1686%
UnitedHealthcare $200 1938%
Mpcn $260 2519%
Multiplan $260 2519%
Novasys $260 2519%
Ppo Plus $295 2859%
Qca $312 3023%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 631 Rb Wilson Dr, Huntingdon, TN 38344
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals