CMS Price Transparency Data

Culture, blood

Facility: Vibra Specialty Hospital of Portland

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $179
Cash Discount Price: $179
vs. Medicare Baseline: 17.34x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Vibra Specialty Hospital of Portland is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 17.34x the Medicare baseline. Located in 10300 Ne Hancock St, Portland, OR.

Cash / Self-Pay

$179

Average discount available for prompt cash payment at this facility.

Insurance Median

$179

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$10.32

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.32 (100%)

Cash / Self-Pay: $179 (1734%)

Insurance Median: $179 (1734%)

Cash: $179 (1734% of Medicare)

Ins. Median: $179 (1734% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.32 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1734% of the Medicare baseline (a markup of 1634%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medincrease	$179	1734%
Va_Administration	$179	1734%
Washington_State_Dep_Of_L_And_I	$179	1734%
Workers_Comp	$179	1734%
Integrated_Health_Plan	$179	1734%
Providence_Health_Plan_Oregon_Health_Plan_Dr	$179	1734%
Three_Rivers_Provider_Network	$179	1734%
Multiplan_Phcs_Network_Phcs_Savility_Healtheos_Network	$179	1734%
Tricare	$179	1734%
Providence_Health_Plan	$179	1734%
Williamette_Valley_Dr	$179	1734%
Pacificsource	$179	1734%
Multiplan_Complimentary_Value_Point	$179	1734%
Aetna	$179	1734%
Americas_Choice_Provider_Network	$179	1734%
United_Healthcare	$179	1734%
Regence_Blue_Cross_Blue_Shield_Of_Or	$179	1734%
Three_Rivers_Auto	$179	1734%
Independent_Medical_Systems	$179	1734%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $179.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Vibra Specialty Hospital of Portland is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.