CMS Price Transparency Data

Culture, blood

Facility: St Barnabas Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11
about 1.1× the $10 Medicare rate · typically $10–$23
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $10 Fair price $11 This hospital $10 Hospital's list price $25

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.

A fair price for a Culture, blood is about $11 (about 1.1× the $10 Medicare rate). St Barnabas Hospital charges insurers about $10 — about the fair price. Located in Bronx, NY.

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 - $13 97%
Aetnamajor $10 97%
Cignamajor $15 - $18 145%
Humanamajor $11 107%
EmblemHealth $10 97%
Fidelis Care $9 - $10 87%
WellCare $8 - $9 78%
+ 10 smaller / regional plans $7 - $19

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Facility Profile & Credentials

  • Address: 4422 Third Avenue, Bronx, NY 10457
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals