Culture, blood
Facility: Chester County Hospital
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $53
- Cash Discount Price: $432
- vs. Medicare Baseline: 5.14x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 514% of the Medicare baseline (a markup of 414%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Cigna | $6 - $432 | 58% |
| Hospice Vna | $10 | 97% |
| Medicare (plans) | $10 - $11 | 97% |
| Primecare Medical | $10 | 97% |
| UnitedHealthcare | $10 - $124 | 97% |
| Va Medical Center | $10 | 97% |
| Aetna | $11 - $255 | 107% |
| Clover Health Plan | $11 | 107% |
| Devoted Health | $11 | 107% |
| Health Partners | $11 - $432 | 107% |
| Humana | $11 | 107% |
| Keystone First Vip Choice | $11 | 107% |
| Mva Insurance | $11 | 107% |
| Pa Health And Wellness | $11 - $17 | 107% |
| Tricare | $11 | 107% |
| Us Family Health Plan | $11 | 107% |
| Gateway | $13 - $14 | 126% |
| Medicaid / KanCare | $14 - $432 | 136% |
| Elap | $15 | 145% |
| Claims Watcher | $17 - $19 | 165% |
| Healthamerica/Coventry | $18 | 174% |
| Keystone First | $18 | 174% |
| Oscar Health Plan | $18 | 174% |
| Centivo | $19 | 184% |
| Elap Services | $19 | 184% |
| Highmark | $21 | 203% |
| Penn Global Medicine | $27 | 262% |
| Geisinger Health Plan | $33 | 320% |
| Ibc | $53 - $123 | 514% |
| Keystone Hmo Proactive | $53 | 514% |
| Pgm - Regie De L'Assurance Maladie Quebec | $99 | 959% |
| Todays Option | $121 | 1172% |
| Preferred Health Care Eliance | $134 | 1298% |
| Pgm - Kuwait Defense | $151 - $194 | 1463% |
| Qualcare | $164 | 1589% |
| Pgm - Chop | $173 | 1676% |
| Pgm - Royal Embassy Of Saudi Arabia | $259 | 2510% |
| Pgm - Embassy Of Qatar | $281 | 2723% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $281 | 2723% |
| Pgm - Embassy Of The United Emirates/Ipc | $302 | 2926% |
| Pgm - Kuwait Health Division | $346 | 3353% |
| Pgm - Kuwait Oil | $346 | 3353% |
| Preferred Health Care | $346 | 3353% |
| Intergroup | $367 | 3556% |
| Olympus | $378 | 3663% |
| International Pfs | $432 | 4186% |
| Medrisk | $432 | 4186% |
| Not Adjusted | $432 | 4186% |
| Workers Compensation | $432 | 4186% |