Culture, blood
Facility: Johnson Memorial Hospital
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $40
- Cash Discount Price: $578
- vs. Medicare Baseline: 3.88x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 388% of the Medicare baseline (a markup of 288%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cca Senior Care Options | $10 - $255 | 97% |
| Blue Cross Blue Shield | $10 - $250 | 97% |
| Medicare (plans) | $10 - $263 | 97% |
| Cigna | $10 - $257 | 97% |
| Harvard Pilgrim Healthcare | $10 - $21 | 97% |
| UnitedHealthcare | $10 - $250 | 97% |
| Geha | $10 - $21 | 97% |
| Aetna | $10 - $250 | 97% |
| Centivo | $13 - $594 | 126% |
| Fallon Health | $13 - $331 | 126% |
| Connecticare | $17 - $38 | 165% |
| Blue Benefit Administrators of Massachusetts | $20 - $40 | 194% |
| Blue Shield - Wa (Regence) | $20 - $40 | 194% |
| Wellpoint | $20 - $40 | 194% |
| Pre-Employment | $20 - $40 | 194% |
| Unicare | $20 - $40 | 194% |
| Blue Shield - Id (Regence) | $20 - $40 | 194% |
| Kaiser Domestic | $20 - $40 | 194% |
| Blue Shield - PA (Highmark) | $20 - $40 | 194% |
| Blue Shield - Ny Highmark Northeastern | $20 - $40 | 194% |
| Health Choices | $20 - $40 | 194% |
| Wc Domestic | $20 - $40 | 194% |
| Blue Care Network | $20 - $40 | 194% |
| Bcn Domestic | $20 - $40 | 194% |
| Blue Distinction Transplant | $20 - $40 | 194% |
| Blue Shield - Ny Highmark Western | $20 - $40 | 194% |
| Blue Shield - Ca | $20 - $40 | 194% |
| Luminare Health | $21 - $42 | 203% |
| Allied Benefit Systems | $21 - $42 | 203% |
| Nippon Life Ins | $21 - $42 | 203% |
| Meritain | $21 - $42 | 203% |
| Gravie Admin Services | $21 - $42 | 203% |
| 1199 National Benefit Fund | $21 - $42 | 203% |
| Webtpa | $21 - $42 | 203% |
| Hap | $21 - $42 | 203% |
| Innovative Health Plan II | $22 - $535 | 213% |
| Diversified Administrators | $22 - $535 | 213% |
| Claimdoc | $22 - $535 | 213% |
| Connecticut Dept of Correction | $24 - $236 | 233% |
| Health New England | $46 | 446% |
| Prime Health Services | $57 | 552% |
| Ghc Scw | $59 | 572% |
| International Benefit Administrators | $59 | 572% |
| Dean Health | $59 | 572% |
| Multiplan | $59 | 572% |
| Asrm - Reliance Standard Life Insurance | $59 | 572% |
| Mvp | $59 | 572% |
| Allied National Global Care | $59 | 572% |
| Christian Care Ministry | $59 | 572% |
| Medi Share | $59 | 572% |
| Manhattan Life | $59 | 572% |
| PHCS | $59 | 572% |
| Paramount HMO | $59 | 572% |
| Lifetime Benefit Solutions | $59 | 572% |
| Family Life Insurance Company | $59 | 572% |
| Trinity Health Share | $59 | 572% |
| Pai | $59 | 572% |
| Pan-American Life | $59 | 572% |
| Allegiance | $60 - $120 | 581% |
| Health Smart | $60 | 581% |
| Magnacare | $60 - $120 | 581% |
| Health Partners | $60 - $120 | 581% |
| United Behavioral Health Eap | $71 | 688% |