CMS Price Transparency Data

Culture, blood

Facility: Children's Specialized Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$9
about 0.9× the $10 Medicare rate · typically $8–$27
modeled estimate · not a bill or quote
What this hospital charges insurers
$8
Below the fair price — a good deal
about $1 under the fair price · 0.8× Medicare
Medicare pays $10 Fair price $9 This hospital $8 Cash price $125 Hospital's list price $249

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

Cheapest $8 Priciest $10

Black dot = this hospital, among the 9 NJ 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 $9 (about 0.9× the $10 Medicare rate). Children's Specialized Hospital charges insurers about $8, or about $125 in cash — below the fair price — a good deal. Located in New Brunswick, NJ.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $9 87%
Blue Cross Blue Shieldmajor $25 - $244 242%
Aetnamajor $190 - $192 1841%
Cignamajor $150 1453%
AmeriHealth $189 1831%
Fidelis Care $8 78%
+ 2 smaller / regional plans $169 - $194
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 200 Somerset St, New Brunswick, NJ 08901
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens