CMS Price Transparency Data

Culture, blood

Facility: Washington Hospital, The

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12
about 1.2× the $10 Medicare rate · typically $11–$16
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
About the fair price
about $1 under the fair price · 1.1× Medicare
Medicare pays $10 Fair price $12 This hospital $11 Cash price $30 Hospital's list price $47

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 0 charge more and 5 charge less, among the 9 PA hospitals compared.

Cheapest $10 Priciest $11

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Culture, blood is about $12 (about 1.2× the $10 Medicare rate). Washington Hospital, The charges insurers about $11, or about $30 in cash — about the fair price. Located in Washington, PA.

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 $12 116%
Blue Cross Blue Shieldmajor $10 - $24 97%
Aetnamajor $7 - $26 68%
Cignamajor $14 136%
Humanamajor $10 97%
AmeriHealth $14 136%
UPMC Health Plan $8 - $11 78%
+ 4 smaller / regional plans $10 - $33
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 155 Wilson Avenue, Washington, PA 15301
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals