Culture, blood
Facility: Bertrand Chaffee Hospital
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $10
- Cash Discount Price: $12
- vs. Medicare Baseline: 0.97x 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.
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 | $7 | 68% |
| Senior Blue - Bc | $7 | 68% |
| Comm Blue Essential | $8 | 78% |
| Community Blue | $8 | 78% |
| Community Care - Bc | $8 | 78% |
| Fidelis Care Of New York | $8 | 78% |
| Fidelis Essential Plans | $8 | 78% |
| Ghi Medical | $8 | 78% |
| Gowanda Correctional Fac | $8 | 78% |
| Medicaid / KanCare | $8 | 78% |
| Molina Essential Plan | $8 | 78% |
| Molina Heathcare Of Wny | $8 | 78% |
| Seneca Nation Health Dept | $8 | 78% |
| United Hc - Community Pln | $8 | 78% |
| United Hc Essential Plan | $8 | 78% |
| Univera Hc Myhealth | $8 | 78% |
| Univera Hc Myhealth+ | $8 - $9 | 78% |
| Yourcare | $8 | 78% |
| Iha Essential Plans | $9 | 87% |
| Iha Medisource | $9 | 87% |
| Univera Essential Plans | $9 | 87% |
| Univera Hc Child Health+ | $9 | 87% |
| Univera Plus Med | $9 | 87% |
| Advantra-Mcr Advantage | $10 | 97% |
| Aetna | $10 - $15 | 97% |
| Centers Plan Hlty Living | $10 | 97% |
| Champva | $10 | 97% |
| Cigna | $10 - $15 | 97% |
| Ctrs Plan For Hlthy Livng | $10 | 97% |
| Geisinger Health Plan | $10 | 97% |
| Humana | $10 | 97% |
| Iha Encompass 65 | $10 - $11 | 97% |
| Lifetime Benefits | $10 | 97% |
| Medicare (plans) | $10 | 97% |
| Mutual Of Omaha | $10 | 97% |
| Nova Healthcare | $10 | 97% |
| Optimum Healthcare - Mcr | $10 | 97% |
| Todays Option - Amer Prog | $10 | 97% |
| Tricare | $10 | 97% |
| United Hc Mcr Solutions | $10 | 97% |
| UnitedHealthcare | $10 | 97% |
| Univera Senior Choice | $10 | 97% |
| Wellcare | $10 | 97% |
| Iha | $11 | 107% |
| Iha Custom Coverage | $11 | 107% |
| Private Pay | $12 | 116% |
| Univera Healthcare | $12 | 116% |
| American Progressive Ins. | $15 | 145% |
| Commercial / Misc | $15 | 145% |
| Global Excel Mgt | $15 | 145% |
| Guardian Life Ins. Co. | $15 | 145% |
| Mvp Commercial | $15 | 145% |
| No Amer Meritian Health | $15 | 145% |
| No-Fault | $15 | 145% |