CMS Price Transparency Data

Culture, blood

Facility: Longview Regional Medical Center

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $18
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Longview Regional Medical Center is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.74x the Medicare baseline. Located in 2901 N Fourth St, Longview, TX.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $94 (911%)
Insurance Median: $18 (174%)
Cash: $94 (911% of Medicare)
Ins. Median: $18 (174% 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
Medicaid / KanCare $9 - $32 87%
Superior $9 - $15 87%
UnitedHealthcare $9 - $117 87%
Aetna $10 - $285 97%
Blue Cross Blue Shield $10 - $90 97%
Healthspring $10 97%
Humana $10 97%
Medicare (plans) $10 97%
Node Hospice Non Par Agree $10 97%
Node Triwest $10 97%
Node Va $10 97%
Veterans Eval Services $10 97%
American Health Mcr Adv $11 107%
Node Amerigroup Mcr Adv $11 107%
Node Champva $11 107%
Provider Partners Health Plan $11 107%
Tricare $11 107%
Wellness Pointe $12 116%
Node Us Dept Of Labor $13 126%
Access Direct Platinum $18 174%
Node Brookshire Brothers $18 174%
Node Brookshire Brothers Work Comp Tx $19 184%
Work Comp $21 203%
Cigna $22 213%
Self Pay $25 - $38 242%
Amerigroup $32 310%
Texas Rehab Commission $104 1008%
Nx Health Network $134 1298%
Health Smart $230 - $292 2229%
Gregg Co Detention Center $242 2345%
Verity Health Net $242 2345%
Multiplan $272 - $355 2636%
Aim Administrators $313 3033%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2901 N Fourth St, Longview, TX 75605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals