CMS Price Transparency Data

Culture, blood

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87040
Insurance Median: $38
Cash Discount Price: $88
vs. Medicare Baseline: 3.68x Medicare

The contracted insurance negotiated median rate for a Culture, blood at Mary Hitchcock Memorial Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 3.68x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$10.32

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.32 (100%)

Cash / Self-Pay: $88 (853%)

Insurance Median: $38 (368%)

Cash: $88 (853% of Medicare)

Ins. Median: $38 (368% of 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 368% of the Medicare baseline (a markup of 268%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$4 - $287	39%
Blue Cross Blue Shield	$7 - $326	68%
Amerihealth Caritas Nh	$9 - $42	87%
Beacon Health Strategies/Carelon	$9 - $46	87%
Granite State Health Plan	$9 - $47	87%
Wellsense Health Plan	$9 - $46	87%
Harvard Pilgrim Health Care Of Ne	$10 - $240	97%
Martin'S Point Generations Advantage	$10	97%
Mvp	$10 - $251	97%
Aetna	$11 - $263	107%
Ambetter / Centene	$11 - $34	107%
Cigna	$11 - $257	107%
Martin'S Point Health Care	$11 - $129	107%
Wellcare Health Plans	$11	107%
Mass General Brigham Health Plan	$25 - $233	242%
Tufts Health Plan	$30 - $218	291%
Maine Community Health Options	$127 - $275	1231%
Coventry	$174 - $325	1686%
First Health/Hcvm	$174 - $325	1686%
Phcs	$180 - $337	1744%
Corvel	$184 - $344	1783%
Ccmsi	$190 - $355	1841%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $88.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mary Hitchcock Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.