Culture, blood
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $11
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.07x 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 |
|---|---|---|
| Smarthealth | $9 - $14 | 87% |
| Vc Hope | $10 | 97% |
| Medicare (plans) | $10 - $11 | 97% |
| Humana | $10 | 97% |
| Va | $10 | 97% |
| Blue Cross Blue Shield | $11 | 107% |
| UnitedHealthcare | $11 - $29 | 107% |
| Cigna | $16 | 155% |
| Medicaid / KanCare | $18 | 174% |
| Aetna | $32 - $36 | 310% |
| Coventry City Of Wichita | $42 | 407% |
Consumer Guidance & Cost Commentary
For the CPT code 87040 (Culture, blood), Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, has a median negotiated rate of $11.00 across 11 payers, with Medicare allowing $10.32. This facility is a Part A provider and does not currently list a cash median or a specific negotiated rate for this service in the provided data. While commercial payers like UnitedHealthcare and Aetna have negotiated ranges extending up to $36, the facility's standard negotiated amount remains consistent at $11.00. Patients should be aware that cash-pay options are not explicitly listed here, but hospitals often offer prompt-pay discounts of 20% to 50% for upfront payments, which can result in a lower out-of-pocket cost than the insurance negotiated rate if the patient has a high deductible.
When evaluating costs, it is important to compare these rates against the broader market context, though specific county or state averages for this exact procedure are not included in the current dataset. The facility's location in Wichita (Zip 67206) and its status as a Part A provider are key factors in its billing structure. If a patient has a high-deductible plan, paying the cash price directly might be more economical than the insurance negotiated rate, provided the facility offers a prompt-pay discount. To secure the best possible price, patients should contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling, as these rates are often not automatically applied during standard insurance claims processing.