CMS Price Transparency Data

Culture, blood

Facility: PAM Rehabilitation Hospital of Corpus Christi

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $13
  • Cash Discount Price: $334
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Culture, blood at PAM Rehabilitation Hospital of Corpus Christi is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $334. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.26x the Medicare baseline. Located in 345 S Water St, Corpus Christi, TX.
Cash / Self-Pay
$334

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $334 (3236%)
Insurance Median: $13 (126%)
Cash: $334 (3236% of Medicare)
Ins. Median: $13 (126% 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
Aetna $7 - $10 68%
Curative $8 78%
Driscoll Health Plan $9 87%
Superior Health $9 87%
Ambetter / Centene $10 97%
Blue Cross Blue Shield $10 - $11 97%
Christus Health Plan $10 97%
Christus Spohn Health Network $10 - $200 97%
Cigna $10 97%
Ilumed Aco Reach $10 97%
Imperial Insurance Of Texas $10 97%
UnitedHealthcare $10 97%
Wellcare Complete $10 97%
Wellmed $10 97%
Wellpoint (Amerigroup) $10 97%
Texas Independence Health Plan $11 107%
Velocity Provider Ppo Network $12 - $250 116%
Prime Health Services $13 - $284 126%
Ninety Degree Benefits $15 145%
Sana Benefits $15 145%
Healthcare Highways $184 1783%
America'S Choice Provider Network $234 2267%
Provider Network Of America $250 2422%
Quik Trip $250 2422%
Usa Managed Care Organization $250 2422%
Multiplan/Phcs $267 2587%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 345 S Water St, Corpus Christi, TX 78401
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL