CMS Price Transparency Data

Culture, blood

Facility: Punxsutawney Area 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 $11–$14
modeled estimate · not a bill or quote
What this hospital charges insurers
$11
About the fair price
1.1× Medicare
Medicare pays $10 Fair price $11 This hospital $11 Cash price $32 Hospital's list price $82

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 $11 (about 1.1× the $10 Medicare rate). Punxsutawney Area Hospital charges insurers about $11, or about $32 in cash — about the fair price. Located in Punxsutawney, 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 $4 - $33 39%
Blue Cross Blue Shieldmajor $6 - $28 58%
Aetnamajor $10 - $23 97%
Cignamajor $5 - $49 48%
Humanamajor $10 97%
Ambetter (Centene) $11 - $19 107%
AmeriHealth $10 - $14 97%
Geisinger $10 - $29 97%
UPMC Health Plan $10 - $57 97%
+ 1 smaller / regional plan $13 - $21
Government programs also on file: Military & VA.
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: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals