CMS Price Transparency Data

Culture, blood

Facility: Claiborne Medical Center

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11
about 1.1× the $10 Medicare rate · typically $10–$13
modeled estimate · not a bill or quote
What this hospital charges insurers
$12
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $10 Fair price $11 This hospital $12

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $10 Priciest $12

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Culture, blood is about $11 (about 1.1× the $10 Medicare rate). Claiborne Medical Center charges insurers about $12 — about the fair price. Located in Tazewell, TN.

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 $7 - $12 68%
Blue Cross Blue Shieldmajor $5 - $22 48%
Aetnamajor $12 - $15 116%
Cignamajor $12 - $22 116%
Humanamajor $11 107%
Devoted Health $12 116%
WellCare $12 116%
+ 1 smaller / regional plan $11
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 1850 Old Knoxville Highway, Tazewell, TN 37879
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals