CMS Price Transparency Data

Culture, blood

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$13
about 1.3× the $10 Medicare rate · typically $11–$18
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
About the fair price
about $1 over the fair price · 1.4× Medicare
Medicare pays $10 Fair price $13 This hospital $14 Cash price $12

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $10 Priciest $14

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 $13 (about 1.3× the $10 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $14, or about $12 in cash — about the fair price. Located in Philadelphia, 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 $11 - $26 107%
Blue Cross Blue Shieldmajor $11 107%
Aetnamajor $11 - $21 107%
Cignamajor $11 - $15 107%
Humanamajor $10 97%
Geisinger $12 - $42 116%
UPMC Health Plan $11 - $33 107%
WellCare $11 107%
+ 2 smaller / regional plans $11 - $494

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Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals