CMS Price Transparency Data
Culture, blood
Facility: Thedacare Medical Center - Shawano
Billing Code: 87040 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$25
about 2.5× the $10 Medicare rate · typically $20–$40
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $25 Cash price $53 Hospital's list price $94
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 | $11 - $94 | 107% |
| Blue Cross Blue Shieldmajor | $25 - $35 | 242% |
| Humanamajor | $92 | 891% |
| HealthPartners | $25 | 242% |
| + 2 smaller / regional plans | $58 - $63 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at Thedacare Medical Center - Shawano
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.