CMS Price Transparency Data

Culture, blood

Facility: Boone Memorial Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$31
about 3.1× the $10 Medicare rate · typically $10–$54
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $31 Cash price $72 Hospital's list price $143

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $40 388%
Aetnamajor $40 - $136 388%
Cignamajor $107 1037%
Humanamajor $39 378%
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 701 Madison Avenue, Madison, WV 25130
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals