CMS Price Transparency Data

Culture, blood

Facility: Hendrick Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $203
Cash Discount Price: $507
vs. Medicare Baseline: 19.67x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Hendrick Medical Center is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $507. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 19.67x the Medicare baseline. Located in 1900 Pine, Abilene, TX.

Cash / Self-Pay

$507

Average discount available for prompt cash payment at this facility.

Insurance Median

$203

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: $507 (4913%)

Insurance Median: $203 (1967%)

Cash: $507 (4913% of Medicare)

Ins. Median: $203 (1967% 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 1967% of the Medicare baseline (a markup of 1867%). 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
Firstcare Star	$15	145%
Superior Health Plan	$17	165%
Wellpoint (Formerly Known As Amerigroup)	$17	165%
Blue Cross Blue Shield	$34 - $223	329%
Baylor Scott And White Health Plan	$149	1444%
UnitedHealthcare	$198 - $279	1919%
Cigna	$304	2946%
Aetna	$320	3101%
Private Healthcare Systems	$330 - $406	3198%
Healthsmart	$381	3692%
Omni Networks	$381 - $431	3692%
Multiplan	$452	4380%

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 $507.
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 Hendrick Medical Center 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.