Culture, blood
Facility: Bertrand Chaffee Hospital
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $10
- Cash Discount Price: $12
- vs. Medicare Baseline: 0.97x 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.
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 |
|---|---|---|
| Blue Cross Blue Shield | $7 | 68% |
| Senior Blue - Bc | $7 | 68% |
| Medicaid / KanCare | $8 | 78% |
| Seneca Nation Health Dept | $8 | 78% |
| Community Blue | $8 | 78% |
| Gowanda Correctional Fac | $8 | 78% |
| United Hc - Community Pln | $8 | 78% |
| Community Care - Bc | $8 | 78% |
| Fidelis Essential Plans | $8 | 78% |
| Univera Hc Myhealth+ | $8 - $9 | 78% |
| Comm Blue Essential | $8 | 78% |
| Fidelis Care of New York | $8 | 78% |
| Univera Hc Myhealth | $8 | 78% |
| Molina Heathcare of Wny | $8 | 78% |
| United Hc Essential Plan | $8 | 78% |
| Molina Essential Plan | $8 | 78% |
| Yourcare | $8 | 78% |
| Ghi Medical | $8 | 78% |
| Univera Essential Plans | $9 | 87% |
| Iha Essential Plans | $9 | 87% |
| Univera Hc Child Health+ | $9 | 87% |
| Univera Plus Med | $9 | 87% |
| Iha Medisource | $9 | 87% |
| Advantra-McR Advantage | $10 | 97% |
| Geisinger Health Plan | $10 | 97% |
| Champva | $10 | 97% |
| Wellcare | $10 | 97% |
| Nova Healthcare | $10 | 97% |
| Tricare | $10 | 97% |
| Univera Senior Choice | $10 | 97% |
| Optimum Healthcare - McR | $10 | 97% |
| Iha Encompass 65 | $10 - $11 | 97% |
| Ctrs Plan for Hlthy Livng | $10 | 97% |
| Medicare (plans) | $10 | 97% |
| Mutual of Omaha | $10 | 97% |
| Humana | $10 | 97% |
| Lifetime Benefits | $10 | 97% |
| United Hc McR Solutions | $10 | 97% |
| Cigna | $10 - $15 | 97% |
| UnitedHealthcare | $10 | 97% |
| Aetna | $10 - $15 | 97% |
| Todays Option - Amer Prog | $10 | 97% |
| Centers Plan Hlty Living | $10 | 97% |
| Iha Custom Coverage | $11 | 107% |
| Iha | $11 | 107% |
| Private Pay | $12 | 116% |
| Univera Healthcare | $12 | 116% |
| American Progressive Ins. | $15 | 145% |
| Guardian Life Ins. Co. | $15 | 145% |
| Global Excel Mgt | $15 | 145% |
| Mvp Commercial | $15 | 145% |
| Commercial / Misc | $15 | 145% |
| No-Fault | $15 | 145% |
| No Amer Meritian Health | $15 | 145% |