CMS Price Transparency Data

Culture, blood

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12
about 1.2× the $10 Medicare rate · typically $11–$18
modeled estimate · not a bill or quote
What this hospital charges insurers
$12
About the fair price
1.2× Medicare
Medicare pays $10 Fair price $12 This hospital $12 Cash price $97 Hospital's list price $97

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.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Culture, blood is about $12 (about 1.2× the $10 Medicare rate). Shriners Hospitals for Children Northern Calif charges insurers about $12, or about $97 in cash — about the fair price. Located in Sacramento, CA.

What each insurance company pays

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

6 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 $10 - $15 97%
Blue Cross Blue Shieldmajor $5 - $15 48%
Aetnamajor $5 - $13 48%
Cignamajor $11 107%
Humanamajor $10 97%
Kaiser Permanentemajor $13 - $100 126%
Ambetter (Centene) $7 - $19 68%
Amerigroup $6 - $10 58%
AmeriHealth $12 - $19 116%
CareSource $12 - $13 116%
Health Net $12 116%
Molina $10 - $13 97%
Providence Health Plan $11 107%
WellCare $13 126%
+ 10 smaller / regional plans $7 - $536
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2425 Stockton Boulevard, Sacramento, CA 95817
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens