CMS Price Transparency Data

Culture, blood

Facility: Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$15
about 1.5× the $10 Medicare rate · typically $11–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$12
Below the fair price — a good deal
about $3 under the fair price · 1.2× Medicare
Medicare pays $10 Fair price $15 This hospital $12

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $6 Priciest $12

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

A fair price for a Culture, blood is about $15 (about 1.5× the $10 Medicare rate). Santa Monica - UCLA Med Ctr & Orthopaedic Hospital charges insurers about $12 — below the fair price — a good deal. Located in Santa Monica, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $10 - $30 97%
Blue Cross Blue Shieldmajor $10 - $17 97%
Aetnamajor $10 97%
Providence Health Plan $11 107%
+ 8 smaller / regional plans $10 - $28
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1250 16Th Street, Santa Monica, CA 90404
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals