CMS Price Transparency Data
Culture, blood
Facility: Stoughton Hospital
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$31
about 3.1× the $10 Medicare rate · typically $10–$64
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $31 Cash price $143 Hospital's list price $260
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $114 - $208 | 1105% |
| Blue Cross Blue Shieldmajor | $226 | 2190% |
| Aetnamajor | $78 - $221 | 756% |
| Cignamajor | $208 | 2016% |
| Humanamajor | $73 - $234 | 707% |
| Dean Health Plan | $58 - $73 | 562% |
| GEHA | $195 | 1890% |
| Health Net | $69 | 669% |
| Quartz | $73 - $134 | 707% |
| + 2 smaller / regional plans | $27 - $234 |
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Stoughton Hospital
Compare: Culture, blood at other WI hospitals
- Upland Hills Health · Dodgeville $9
- St Josephs Community Hospital West Bend · West Bend $10
- Fort Memorial Hospital · Fort Atkinson $10
- Gundersen Lutheran Medical Center · La Crosse $10
- Unitypoint Health - Meriter · Madison $10
- Sauk Prairie Hospital · Prairie Du Sac $10
- University of Wi Hospitals & Clinics Authority · Madison $10
- Froedtert Memorial Lutheran Hospital · Milwaukee $10
Insurance negotiated median for the same procedure, sorted lowest first.