Culture, blood
Facility: Jefferson Abington Hospital
Billing Code: 87040 (CPT)
- CPT Billing Code: 87040
- Insurance Median: $11
- Cash Discount Price: $12
- vs. Medicare Baseline: 1.07x 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 |
|---|---|---|
| Pro United Commercial | $6 | 58% |
| Abington Pro Ibc | $7 | 68% |
| Blue Cross Blue Shield | $7 - $10 | 68% |
| Medicare (plans) | $7 - $15 | 68% |
| Aetna | $10 - $27 | 97% |
| Innovage | $10 | 97% |
| Innovage Pro | $10 | 97% |
| Inspira Life | $10 | 97% |
| Inspira Life Pro | $10 | 97% |
| Jefferson Health Plan Aca Exchange | $10 | 97% |
| Jefferson Health Plan Aca Qhp Exchange | $10 | 97% |
| Jup Highmark | $10 | 97% |
| Point Of Comfort Refugee Resettlement | $10 | 97% |
| Provider Partners Health Plan | $10 | 97% |
| Tricare | $10 | 97% |
| UnitedHealthcare | $10 - $15 | 97% |
| Abington Pro Keystone First Vip | $11 | 107% |
| Allwell Pa Health_Wellness Ma | $11 | 107% |
| Cigna | $11 - $15 | 107% |
| Devoted Health Participation | $11 | 107% |
| Humana | $11 | 107% |
| Keystone First Vip Choice | $11 | 107% |
| Pro Provider Partners Pphp | $11 | 107% |
| Highmark Wholecare Gateway | $12 | 116% |
| Highmark Wholecare Gateway Pro | $12 | 116% |
| Perennial | $12 | 116% |
| Perennial Pro | $12 | 116% |
| Ibc Employee Benefit | $13 | 126% |
| Ibc Main Line Health | $13 | 126% |
| Ibc | $14 - $34 | 136% |
| Ambetter / Centene | $15 | 145% |
| Medicaid / KanCare | $15 - $28 | 145% |
| Pro Naphcare | $15 | 145% |
| Upmc Commercial | $15 | 145% |
| Jup Health Partners Chip | $16 | 155% |
| Keystone First | $17 | 165% |
| Naphcare | $17 | 165% |
| Pa Health_Wellness Chc | $18 | 174% |
| Highmark | $25 - $29 | 242% |
| Jup Geisinger Commercial | $26 | 252% |
| Geisinger Health Plan | $42 | 407% |