CMS Price Transparency Data

Culture, blood

Facility: Ely - Bloomenson Community Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$37
about 3.7× the $10 Medicare rate · typically $11–$208
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $37 Cash price $201 Hospital's list price $248

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $136 - $248 1318%
Blue Cross Blue Shieldmajor $85 - $204 824%
Cignamajor $119 - $241 1153%
Humanamajor $138 - $243 1337%
Medica $103 - $226 998%
Government programs also on file: Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 328 West Conan Street, Ely, MN 55731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals