CMS Price Transparency Data

Culture, blood

Facility: Ascension Sacred Heart Rehabilitation Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$26
about 2.6× the $10 Medicare rate · typically $11–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
Below the fair price — a good deal
about $5 under the fair price · 2.1× Medicare
Medicare pays $10 Fair price $26 This hospital $21

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $21

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Culture, blood is about $26 (about 2.6× the $10 Medicare rate). Ascension Sacred Heart Rehabilitation Hospital charges insurers about $21 — below the fair price — a good deal. Located in Mequon, WI.

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 $14 136%
Blue Cross Blue Shieldmajor $11 - $40 107%
Humanamajor $14 - $21 136%
+ 4 smaller / regional plans $14 - $47

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Facility Profile & Credentials

  • Address: 13111 N Port Washington Rd, Mequon, WI 53097
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL