CMS Price Transparency Data

Culture, blood

Facility: Vernon Memorial Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$86
about 8.6× the $10 Medicare rate · typically $13–$120
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $86 Cash price $377 Hospital's list price $377

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 - $352 107%
Blue Cross Blue Shieldmajor $124 - $322 1202%
Aetnamajor $136 - $329 1318%
Humanamajor $345 3343%
Quartz $81 - $121 785%
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 507 South Main St, Viroqua, WI 54665
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals