CMS Price Transparency Data

Culture, blood

Facility: Door County Medical Center

Billing Code: 87040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$31
about 3.1× the $10 Medicare rate · typically $11–$77
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $31 Cash price $147 Hospital's list price $196

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.

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 $11 - $150 107%
Blue Cross Blue Shieldmajor $63 - $172 610%
Aetnamajor $64 620%
Cignamajor $63 610%
Humanamajor $63 - $184 610%
HealthPartners $169 1638%
Molina $131 1269%
+ 3 smaller / regional plans $96 - $160
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 323 South 18Th Avenue, Sturgeon Bay, WI 54235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals