Culture, blood
Facility: Kearny County Hospital
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $112
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 10.85x 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 1085% of the Medicare baseline (a markup of 985%). 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 | $112 | 1085% |
| Wps Gha - Mac J5 Part A | $112 | 1085% |
| Community Care Health Plan Of | $112 | 1085% |
| Humana | $112 | 1085% |
| UnitedHealthcare | $112 | 1085% |
| Aetna | $112 | 1085% |
Consumer Guidance & Cost Commentary
For the CPT code 87040 (Culture, blood) at Kearny County Hospital in Lakin, KS, the negotiated rate is $112.00, which matches the median negotiated amount across all six payers including Blue Cross Blue Shield and Humana. This rate is significantly higher than the Medicare benchmark of $10.32, reflecting a markup of 10.9 times the federal baseline. While the facility is a Critical Access Hospital owned by the local government, patients should note that cash-pay options are not listed for this service, and the median paid amount of $90.00 represents the average reimbursement received by the hospital rather than a direct discount available to consumers.
Because this service is billed at a fixed negotiated rate of $112.00 for all major insurers, there is no variation in the allowed amount based on specific plan tier or network status. Consumers with high-deductible plans may find that paying the full $112.00 out-of-pocket is more cost-effective than relying on insurance, as the insurer's allowed amount will likely exceed the cash price if one were available. However, since the cash median is not reported, patients should contact the hospital directly to inquire about any self-pay or prompt-pay discounts that might apply, ensuring they do not pay the full negotiated rate if a reduced cash option exists.