CMS Price Transparency Data

Culture, blood

Facility: Bellin Health Oconto Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$22
about 2.2× the $10 Medicare rate · typically $12–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
About the fair price
about $1 under the fair price · 2.1× Medicare
Medicare pays $10 Fair price $22 This hospital $21 Cash price $37 Hospital's list price $57

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $9 Priciest $21

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Culture, blood is about $22 (about 2.2× the $10 Medicare rate). Bellin Health Oconto Hospital charges insurers about $21, or about $37 in cash — about the fair price. Located in Oconto, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $23 - $40 223%
Blue Cross Blue Shieldmajor $19 - $21 184%
Aetnamajor $28 271%
Cignamajor $40 - $41 388%
Humanamajor $19 184%
+ 12 smaller / regional plans $19 - $51
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 820 Arbutus Ave, Oconto, WI 54153
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals