CMS Price Transparency Data
Culture, blood
Facility: Elmhurst Hospital Center
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$40
about 4.0× the $10 Medicare rate · typically $12–$56
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $40 Hospital's list price $37
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 | $15 - $36 | 145% |
| Blue Cross Blue Shieldmajor | $29 - $64 | 281% |
| Aetnamajor | $6 - $26 | 58% |
| Cignamajor | $26 | 252% |
| Fidelis Care | $10 - $64 | 97% |
| MagnaCare | $12 | 116% |
| Oscar Health | $15 | 145% |
| WellCare | $22 | 213% |
| + 13 smaller / regional plans | $7 - $64 |
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
Other Procedures at Elmhurst Hospital Center
Compare: Culture, blood at other NY hospitals
- Elizabethtown Community Hospital · Elizabethtown $7
- Nassau University Medical Center · East Meadow $8
- Montefiore New Rochelle Hospital · New Rochelle $8
- Hospital for Special Surgery · New York $8
- Montefiore Mount Vernon Hospital · Mount Vernon $9
- Bertrand Chaffee Hospital · Springville $9
- Long Island Community Hospital · Patchogue $9
- The University of Vermont Health Network-Alice Hy · Malone $9
Insurance negotiated median for the same procedure, sorted lowest first.