Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 87205 · SPRINGFIELD, OH

87205 — Special Gram Or Giemsa Stain For Microorganism

What each payer pays OHIO VALLEY SURGICAL HOSPITAL (CCN 360355) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$21,590 All-payer median here
$4 Cash / self-pay here
65 payer/plan-name variants
← This hospital National rates for 87205 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Bluecrossblueshieldfeddonotuse $43,743 102.6% 1
Blue Cross Blue Shield Association $43,743 102.6% 24
Unified Group $34,863 61.5% 1
Samba $34,863 61.5% 1
Healthgram Inc (formerly Primary PhysicianCare Inc) $34,863 61.5% 1
Cigna Healthcare $34,863 61.5% 30
Sbma $34,863 61.5% 1
Nalc $34,863 61.5% 1
CareSource $32,385 50.0% 9
US Health $31,917 47.8% 1
GEHA (Government Employees Health Association) $31,917 47.8% 9
UnitedHealthcare $31,917 47.8% 66
GOLDEN RULE INSURANCE $31,917 47.8% 3
UMR (UnitedHealthcare TPA) $31,917 47.8% 7
Medica $31,917 47.8% 1
Surest (UHC) $31,917 47.8% 1
Shl $31,917 47.8% 1
EMPLOYER DIRECT HEALTHCARE $27,489 27.3% 1
Devoted Health $25,995 20.4% 3
The Health Plan of West Virginia, Inc. $22,670 5.0% 1
Humana $22,605 4.7% 9
Wraparound Pl Supp $21,590 0.0% 1
American Continental Insurance $21,590 0.0% 1
American Continental Life $21,590 0.0% 1
American Republic $21,590 0.0% 1
American Retirement $21,590 0.0% 1
Americo Medicare Supplement $21,590 0.0% 1
Anthem (Elevance Health) $21,590 0.0% 3
AULTCARE/PRIMETIME HEALTH PLAN $21,590 0.0% 1
Bankers Fidelity $21,590 0.0% 1
Bankers Life And Casualty $21,590 0.0% 1
Buckeye Health Plan $21,590 0.0% 4
CENTRAL STATES HEALTH & LIFE CO OF OMAHA MEDICARE SUPPLEMENT $21,590 0.0% 1
Communicare Advantage $21,590 0.0% 1
EVEREST SUPPLEMENTAL MEDICAL EXPENSE POLICY $21,590 0.0% 1
Gateway Health Plan $21,590 0.0% 1
Kskj Life Medicare $21,590 0.0% 1
Lumico Medicare $21,590 0.0% 1
Medicare (Generic) $21,590 0.0% 4
Molina Healthcare $21,590 0.0% 11
PARAMOUNT HEALTH CARE $21,590 0.0% 3
Patient No Pay $21,590 0.0% 1
Prosperity Supplement $21,590 0.0% 1
Self Pay Imaging $21,590 0.0% 1
Self Pay Medicare $21,590 0.0% 5
Sierra Medicare $21,590 0.0% 1
TRICARE $21,590 0.0% 9
VA / CHAMPVA $21,590 0.0% 4
WellCare Health Plans $21,590 0.0% 2
Western United Life Medicare $21,590 0.0% 1
Aetna $21,590 0.0% 51
Personify Health $19,818 -8.2% 2
Nippon Life $19,818 -8.2% 4
Mhbp $19,818 -8.2% 2
Ngs Coresource $19,818 -8.2% 2
Meritain Health $19,818 -8.2% 6
PacificSource $19,818 -8.2% 2
Mail Handlers $19,818 -8.2% 2
Genworth $19,818 -8.2% 2
Medben $5 -100.0% 4
Ohio Health $5 -100.0% 2
LUMINARE HEALTH KC $5 -100.0% 2
Preferred Health $5 -100.0% 4
BCBS of Illinois $3 -100.0% 4
Medical Mutual of Ohio $3 -100.0% 33

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.