Culture, blood
Facility: St Francis Hospital & Medical Center
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $28
- Cash Discount Price: $3,152
- vs. Medicare Baseline: 2.71x 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 271% of the Medicare baseline (a markup of 171%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $9 - $1,838 | 87% |
| Cigna | $10 - $534 | 97% |
| Geha | $10 - $21 | 97% |
| Cca Senior Care Options | $10 - $529 | 97% |
| UnitedHealthcare | $10 - $529 | 97% |
| Harvard Pilgrim Healthcare | $10 - $21 | 97% |
| Aetna | $10 - $518 | 97% |
| Medicare (plans) | $10 - $545 | 97% |
| Blue Shield - Ny Highmark Northeastern | $12 - $1,838 | 116% |
| Blue Shield - Id (Regence) | $12 - $1,838 | 116% |
| Pre-Employment | $12 - $1,838 | 116% |
| Wc Domestic | $12 - $1,838 | 116% |
| Blue Shield - PA (Highmark) | $12 - $1,838 | 116% |
| Blue Shield - Wa (Regence) | $12 - $1,838 | 116% |
| Blue Shield - Ca | $12 - $1,838 | 116% |
| Blue Shield - Ny Highmark Western | $12 - $1,838 | 116% |
| Health Choices | $12 - $1,838 | 116% |
| Wellpoint | $12 - $1,838 | 116% |
| Blue Benefit Administrators of Massachusetts | $12 - $1,838 | 116% |
| Unicare | $12 - $1,838 | 116% |
| Blue Care Network | $12 - $1,838 | 116% |
| Bcn Domestic | $12 - $1,838 | 116% |
| Kaiser Domestic | $12 - $1,838 | 116% |
| Blue Distinction Transplant | $12 - $1,838 | 116% |
| Centivo | $13 | 126% |
| Fallon Health | $13 - $688 | 126% |
| Allied Benefit Systems | $14 - $28 | 136% |
| Nippon Life Ins | $14 - $28 | 136% |
| 1199 National Benefit Fund | $14 - $28 | 136% |
| Connecticare | $14 - $35 | 136% |
| Luminare Health | $14 - $28 | 136% |
| Gravie Admin Services | $14 - $28 | 136% |
| Meritain | $14 - $28 | 136% |
| Webtpa | $14 - $28 | 136% |
| Hap | $14 - $28 | 136% |
| Connecticut Dept of Correction | $16 - $488 | 155% |
| Allegiance | $17 - $34 | 165% |
| Magnacare | $17 - $34 | 165% |
| Health Partners | $17 - $34 | 165% |
| Innovative Health Plan II | $22 - $1,111 | 213% |
| Health New England | $39 | 378% |
| Asrm - Reliance Standard Life Insurance | $48 | 465% |
| Allied National Global Care | $48 | 465% |
| Manhattan Life | $48 | 465% |
| Dean Health | $48 | 465% |
| Medi Share | $48 | 465% |
| Trinity Health Share | $48 | 465% |
| Christian Care Ministry | $48 | 465% |
| Ghc Scw | $48 | 465% |
| Pai | $48 | 465% |
| Multiplan | $48 | 465% |
| PHCS | $48 | 465% |
| Mvp | $48 | 465% |
| Family Life Insurance Company | $48 | 465% |
| Paramount HMO | $48 | 465% |
| Pan-American Life | $48 | 465% |
| Lifetime Benefit Solutions | $48 | 465% |
| International Benefit Administrators | $48 | 465% |
| Prime Health Services | $50 | 484% |
| Health Smart | $60 | 581% |