CMS Price Transparency Data

Culture, blood

Facility: Medical City Arlington

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $15
  • Cash Discount Price: $1,196
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Medical City Arlington is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,196. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.45x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$1,196

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $1,196 (11589%)
Insurance Median: $15 (145%)
Cash: $1,196 (11589% of Medicare)
Ins. Median: $15 (145% 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
Cook Childrens Health Plan $6 58%
Aetna $9 - $869 87%
Amerigroup $9 - $10 87%
Cigna $9 - $167 87%
Parkland Community Health Plan $9 87%
Texas Health Network $9 87%
United $9 - $225 87%
Blue Cross Blue Shield $10 - $531 97%
Care N Care $10 97%
Devoted Health $10 97%
Humana $10 - $115 97%
Molina $10 - $11 97%
Mutual Of Omaha $10 97%
Triwest Veterans $10 97%
Wellmed $10 97%
American Health Plan Of Texas, Inc. $11 107%
Imperial Insurance Company $11 107%
Integranet $11 107%
Procare Advantge $11 107%
Provider Partners Health Plan $11 107%
Superior Health Plan $11 - $84 107%
Texas Independent Health Plan $11 107%
Triwest Health Alliance $11 107%
Wellcare $11 107%
Universal Healthcare Group $12 116%
Verda Health Plan $13 126%
Bravo Health $15 145%
Superior $18 - $23 174%
Corvel Corporation $20 194%
Usa Managed Care $20 - $957 194%
Molina Healthcare $27 262%
Oscar $27 262%
Unicare $227 - $1,196 2200%
Healthcare Highways $293 - $404 2839%
Evry Health $309 2994%
City Of Mckinney $538 5213%
Fidelis Securecare $538 5213%
Global Sports Services $598 5795%
National Choicecare $598 5795%
Pc Texas Partners $658 6376%
Physicians Coop Of Tx $658 6376%
Rockport Health Group $658 6376%
Averde Health, Inc $694 6725%
Coastal Comp Health Networks $837 8110%
Mega Life $837 8110%
Multiplan Phcs $837 8110%
Healthsmart Preferred Care $849 8227%
Lewisville Isd/Dls Consulting $897 8692%
Usc Health Services $957 9273%
Galaxy Health Network $1,017 9855%
Texas Instruments $1,076 10426%
Independent Medical Systems $1,196 11589%
National Healthcare Solutions $1,196 11589%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals