CMS Price Transparency Data
Culture, blood
Facility: Penobscot Valley Hospital
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$59
about 5.9× the $10 Medicare rate · typically $17–$73
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $59 Cash price $96 Hospital's list price $120
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 | $30 - $186 | 291% |
| Blue Cross Blue Shieldmajor | $31 - $172 | 300% |
| Aetnamajor | $31 - $223 | 300% |
| Cignamajor | $61 - $219 | 591% |
| Humanamajor | $30 - $108 | 291% |
| Harvard Pilgrim | $62 - $222 | 601% |
| WellCare | $30 - $108 | 291% |
Government programs also on file: Medicare.
Self-Pay How to get the cash price
Insurance Before you use insurance
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Other Procedures at Penobscot Valley Hospital
Compare: Culture, blood at other ME hospitals
- Central Maine Medical Center · Lewiston $10
- Cary Medical Center · Caribou $10
- Mainehealth Mid Coast Hospital · Brunswick $11
- Mainehealth Pen Bay Hospital · Rockport $11
- Mainehealth Maine Medical Center · Portland $12
- Mainehealth Stephens Hospital · Norway $12
- Mainehealth Franklin Hospital · Farmington $12
- Lincolnhealth · Damariscotta $13
Insurance negotiated median for the same procedure, sorted lowest first.