CMS Price Transparency Data

Culture, blood

Facility: St James Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9
about 0.9× the $10 Medicare rate · typically $9–$12
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $10 Fair price $9 This hospital $10 Cash price $67 Hospital's list price $134

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $7 Priciest $10

Black dot = this hospital, among the 9 NY 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). St James Hospital charges insurers about $10, or about $67 in cash — about the fair price. Located in Hornell, NY.

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 $8 - $10 78%
Blue Cross Blue Shieldmajor $7 - $20 68%
Aetnamajor $10 - $15 97%
Cignamajor $10 97%
Humanamajor $10 97%
Fidelis Care $8 78%
Molina $8 - $19 78%
MVP Health Care $10 97%
+ 1 smaller / regional plan $12
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals