Culture, blood
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $241
- Cash Discount Price: $321
- vs. Medicare Baseline: 23.35x 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 2335% of the Medicare baseline (a markup of 2235%). 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 | $192 | 1860% |
| Americas Choice Provider Network | $225 | 2180% |
| Quiktrip Corporation | $241 | 2335% |
| Provider Network Of America | $241 | 2335% |
| Velocity | $241 | 2335% |
| Usa Managed Care Organization | $241 | 2335% |
| Multiplan-Phcs | $257 | 2490% |
| Prime Health Services | $273 | 2645% |
| Medincrease | $289 | 2800% |
Consumer Guidance & Cost Commentary
For the CPT code 87040 (Culture, blood), the Rehabilitation Hospital Of Overland Park lists a cash price of $321.00, which matches the facility's median cash rate. While this cash price is higher than the state average of $10.32, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. In this case, the median negotiated rate across nine payers is $241.00, which is lower than the cash price. Patients with high-deductible plans or those who have already met their deductible may find that paying the cash rate of $321.00 is more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the patient's plan has not yet covered the service.
To minimize unexpected costs, patients should verify their specific plan details and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Additionally, if a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies. While the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still review their statement carefully to ensure all charges align with their contracted rates and avoid signing away rights to dispute out-of-network ancillary services without understanding the implications.