Culture, blood
Facility: Overlook Medical Center
Billing Code: 87040 (CPT)
Highest price of the 9 NJ hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.
⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Culture, blood is about $11 (about 1.1× the $10 Medicare rate). Overlook Medical Center charges insurers about $13, or about $136 in cash — above the fair price. Located in Summit, NJ.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $11. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $10 | 97% |
| Blue Cross Blue Shieldmajor | $8 - $298 | 78% |
| Aetnamajor | $9 - $173 | 87% |
| Cignamajor | $10 - $123 | 97% |
| Humanamajor | $234 | 2267% |
| Kaiser Permanentemajor | $192 | 1860% |
| Ambetter (Centene) | $21 - $123 | 203% |
| AmeriHealth | $10 - $169 | 97% |
| GEHA | $10 | 97% |
| Harvard Pilgrim | $10 | 97% |
| Health Net | $18 - $298 | 174% |
| MagnaCare | $18 - $280 | 174% |
| MVP Health Care | $12 | 116% |
| Oscar Health | $234 | 2267% |
| Tufts Health Plan | $12 | 116% |
| UPMC Health Plan | $11 - $123 | 107% |
| WellCare | $11 - $123 | 107% |
| + 79 smaller / regional plans | $8 - $350 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Overlook Medical Center
Compare: Culture, blood at other NJ hospitals
- Children's Specialized Hospital · New Brunswick $8
- Hackensack University Medical Center · Hackensack $10
- Newark Beth Israel Medical Center · Newark $10
- St Mary's General Hospital · Passaic $10
- Clara Maass Medical Center · Belleville $10
- Cape Regional Medical Center Inc · Cape May Court House $10
- Chilton Medical Center · Pompton Plains $10
- Robert Wood Johnson University Hospital at Rahway · Rahway $10
Insurance negotiated median for the same procedure, sorted lowest first.