CMS Price Transparency Data

Culture, blood

Facility: Olean General Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $11
  • Cash Discount Price: $74
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Olean General Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.07x the Medicare baseline. Located in 515 Main Street, Olean, NY.
Cash / Self-Pay
$74

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $74 (717%)
Insurance Median: $11 (107%)
Cash: $74 (717% of Medicare)
Ins. Median: $11 (107% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Cigna $6 58%
Blue Cross Blue Shield $8 - $33 78%
Highmark - Bradford $8 78%
Independent Health Association $8 - $16 78%
UnitedHealthcare $8 78%
Fidelis $9 87%
Mvp $9 - $10 87%
Univera $9 - $11 87%
Humana $10 97%
Aetna $11 107%
Fidelis Care $11 - $13 107%
Geisinger $11 107%
Upmc $11 - $30 107%
Wellcare $11 107%
Nova Azero Health Plan $16 155%
Nova Azero Health Plan - Bradford $16 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 Main Street, Olean, NY 14760
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals