Culture, blood
Facility: Northern Louisiana Medical Center
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $389
- Cash Discount Price: $305
- vs. Medicare Baseline: 37.69x 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 3769% of the Medicare baseline (a markup of 3669%). 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 |
|---|---|---|
| Tricare | $8 - $10 | 78% |
| Champus | $8 | 78% |
| Champva | $8 | 78% |
| Golden Rule Ins | $9 - $334 | 87% |
| UnitedHealthcare | $9 - $334 | 87% |
| Gulf South Services | $10 | 97% |
| Veterans Evaluation Svcs | $10 | 97% |
| Medicaid / KanCare | $10 - $555 | 97% |
| Medicare (plans) | $10 | 97% |
| Humana | $10 - $87 | 97% |
| VA | $10 | 97% |
| Vantage Advantage | $10 | 97% |
| Blue Cross Blue Shield | $10 - $79 | 97% |
| Aetna | $10 - $333 | 97% |
| Mutual of Omaha | $10 | 97% |
| Vantage Health Plan Ppaca | $20 | 194% |
| Vantage Health Plan | $21 | 203% |
| First Health | $22 - $472 | 213% |
| Verity Healthnet | $272 | 2636% |
| Cigna | $278 | 2694% |
| Kaiser Permanente | $278 | 2694% |
| Gilsbar | $305 | 2955% |
| Self Pay | $305 | 2955% |
| Geha | $444 - $527 | 4302% |
| Multiplan | $472 | 4574% |
| PHCS | $472 | 4574% |
| Workers Compensation | $500 | 4845% |
| Work Comp City of Ruston | $500 | 4845% |
| Work Comp First Health | $500 | 4845% |
| Work Comp Nlmc Emp | $500 | 4845% |
| American Life Accident | $555 | 5378% |
| United Teachers Ins | $555 | 5378% |
| Benefit Trust Life | $555 | 5378% |
| Mva Insurance Payors | $555 | 5378% |
| Fox Everett Inc | $555 | 5378% |
| Guarantee Trust Life Ins | $555 | 5378% |
| McR American Hlth Adv | $555 | 5378% |
| Misc Commercial | $555 | 5378% |
| Us Dept of Labor | $555 | 5378% |
| Aflc American Family Life | $555 | 5378% |
| Gmp Employers Retiree Tru | $555 | 5378% |
| Apwu Health Plan | $555 | 5378% |
| Lincoln Kidney Center | $555 | 5378% |
| Crime Victims Compensatio | $555 | 5378% |
| Ima Insurance | $555 | 5378% |
| Industrial Accounts | $555 | 5378% |
| Ltu Student Ins Bollinger | $555 | 5378% |
| Ruston Regional Specialty | $555 | 5378% |
| Union Fidelity Life Ins | $555 | 5378% |
| Equitable | $555 | 5378% |
| Healthfirst Tpa | $555 | 5378% |
| State Farm Insurance | $555 | 5378% |
| Lifecare Specialty Hosp | $555 | 5378% |
| Aarp | $555 | 5378% |
| Specialty Hosp of Winnfie | $555 | 5378% |
| Protective Life Ins | $555 | 5378% |
| Liberty Mutual Group | $555 | 5378% |
| Lin Parish Detention | $555 | 5378% |
| Sterling Investors Life | $555 | 5378% |
| Newera | $555 | 5378% |
| United American | $555 | 5378% |
| Nlmc Community Services | $555 | 5378% |
| State Mutual Ins | $555 | 5378% |
| Principal Mutual Life Ins | $555 | 5378% |
| Bankers Life and Casualty | $555 | 5378% |
| Gsu Athletics | $555 | 5378% |
| Union Bankers Insurance C | $555 | 5378% |
| Liberty Healthshare | $555 | 5378% |
| Hospice of Caring Hearts | $555 | 5378% |
| The Hartford | $555 | 5378% |
| Nalc Natl Assoc Ltr Carri | $555 | 5378% |
| Premier Hospice | $555 | 5378% |
| Ltu Athletics | $555 | 5378% |
| Washington National Ins | $555 | 5378% |
| Nalc Health Benefit Plan | $555 | 5378% |
| Physicians Mutual Ins | $555 | 5378% |