Culture, blood
Facility: Bmh-Calhoun
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $69
- Cash Discount Price: $46
- vs. Medicare Baseline: 6.69x 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 669% of the Medicare baseline (a markup of 569%). 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 |
|---|---|---|
| Veterans Evaluation Services | $10 | 97% |
| Molina | $11 - $71 | 107% |
| Blue Cross Blue Shield | $19 - $39 | 184% |
| PPO Holdings | $34 | 329% |
| Tricare | $36 | 349% |
| Magnolia Regional Health Center | $36 | 349% |
| Triwest | $38 | 368% |
| Ms Breast and Cervical | $38 | 368% |
| Vaccn | $38 | 368% |
| Devoted Health | $39 | 378% |
| Primewell | $40 | 388% |
| Humana | $40 - $71 | 388% |
| Aetna | $40 - $58 | 388% |
| Shared Health | $40 | 388% |
| American Health Plan | $40 | 388% |
| Littler | $44 | 426% |
| Magnolia Ms | $44 | 426% |
| Cigna | $49 | 475% |
| First Choice Health Plan of Ms | $57 | 552% |
| Burch Food Services | $65 | 630% |
| First State Bank Trust | $65 | 630% |
| Rei Nation | $69 | 669% |
| Delta Industries | $69 | 669% |
| Mechanical Systems | $69 | 669% |
| Bartlett City Schools | $69 | 669% |
| W G Yates | $69 | 669% |
| Hospitality Management Advisors | $69 | 669% |
| French Camp Academy | $69 | 669% |
| Arlington Community Schools | $69 | 669% |
| Crittenden County | $69 | 669% |
| Brimhall Foods | $69 | 669% |
| Dunn Investment Company | $69 | 669% |
| W W Wood Products | $69 | 669% |
| Mid-South Transport | $69 | 669% |
| Silver Tree | $69 | 669% |
| Ritchey Automotive | $69 | 669% |
| Town of Collierville | $69 | 669% |
| Malco Theaters | $69 | 669% |
| Ashley Furniture Stores | $69 | 669% |
| Jas D Collier | $69 | 669% |
| Radians | $69 | 669% |
| City of Lakeland | $69 | 669% |
| Lakeland School System | $69 | 669% |
| Y K Auto Group | $69 | 669% |
| Desoto Co Board of Supervisors | $69 | 669% |
| City of Bartlett | $69 | 669% |
| Patterson Warehouses | $69 | 669% |
| Heavy Machines | $69 | 669% |
| Carlisle | $69 | 669% |
| Davidson Hospitality | $69 | 669% |
| Heartland Catfish Company | $69 | 669% |
| Eas Mssc Schools | $69 | 669% |
| Collierville Schools | $69 | 669% |
| Vaughn Electric | $69 | 669% |
| Gossett Motor Cars | $69 | 669% |
| Armstrong Relocation | $69 | 669% |
| Security One | $69 | 669% |
| Hollowell Industries | $69 | 669% |
| United Tn Holdings | $69 | 669% |
| First Community Bank | $69 | 669% |
| State Systems | $69 | 669% |
| Retzer Resources | $69 | 669% |
| Building Plastic | $69 | 669% |
| Minact | $69 | 669% |
| Cannon Motor Company | $69 | 669% |
| Hattiesburg Clinic | $69 | 669% |
| Watkins Uiberall | $69 | 669% |
| Advanced Health Systems Inc. | $71 | 688% |
| Christian Health Aid | $71 | 688% |
| PPO Plus | $76 | 736% |
| Employers Health Network | $77 | 746% |
| Harding Academy | $77 | 746% |
| Multiplan | $80 | 775% |
| Qca | $80 | 775% |