CMS Price Transparency Data

Culture, blood

Facility: Park City Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $127
Cash Discount Price: $109
vs. Medicare Baseline: 12.31x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Park City Hospital is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 12.31x the Medicare baseline. Located in 900 Round Valley Drive, Park City, UT.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

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: $109 (1056%)

Insurance Median: $127 (1231%)

Cash: $109 (1056% of Medicare)

Ins. Median: $127 (1231% 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 1231% of the Medicare baseline (a markup of 1131%). 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
Donor Connect	$4 - $42	39%
Health Plan Of Nevada	$9 - $130	87%
Healthy U	$9 - $130	87%
Molina	$9 - $130	87%
Selecthealth	$9 - $130	87%
Triwest	$9	87%
Aetna	$10 - $129	97%
American Health	$10 - $11	97%
Blue Cross Blue Shield	$10 - $129	97%
Health Partners Of Nevada	$10	97%
Humana	$10 - $131	97%
UnitedHealthcare	$10 - $129	97%
Corporation Of The President	$109	1056%
Corvel Corporation	$109	1056%
Injury Care Of Nevada	$109	1056%
Wcf Insurance	$109	1056%
Byu Risk Management	$124	1202%
Cigna	$124 - $129	1202%
Global Excel	$124	1202%
Medcare International	$124	1202%
Springtide	$124	1202%
Uofu	$124	1202%
Byu Athletics	$127	1231%
Campbell Scientific	$127	1231%
Emi Health	$127	1231%
Franklin County	$127	1231%
Ifit	$127	1231%
Juniper Systems	$127	1231%
Lw Miller	$127	1231%
Managed Care Admin	$127	1231%
Motivhealth	$127	1231%
Prodegi Corp Benefit	$127	1231%
Tanner Llc	$127	1231%
Utah Tech	$127	1231%
Wise Network	$127	1231%
Awh Connected	$129 - $130	1250%
Deseret Mutual	$129	1250%
Emi	$129	1250%
Pehp	$129 - $131	1250%
Health Utah	$131	1269%
Hygeia Corporation	$131	1269%

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 $109.
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 Park City Hospital 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.