CMS Price Transparency Data

Culture, blood

Facility: Penn Presbyterian Medical Center

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17
about 1.7× the $10 Medicare rate · typically $12–$18
modeled estimate · not a bill or quote
What this hospital charges insurers
$18
About the fair price
about $1 over the fair price · 1.8× Medicare
Medicare pays $10 Fair price $17 This hospital $18 Cash price $629 Hospital's list price $629

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 $18

Black dot = this hospital, among the 9 PA 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 $17 (about 1.7× the $10 Medicare rate). Penn Presbyterian Medical Center charges insurers about $18, or about $629 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 - $629 107%
Blue Cross Blue Shieldmajor $10 - $629 97%
Aetnamajor $11 - $629 107%
Cignamajor $6 - $199 58%
Humanamajor $11 - $503 107%
Clover Health $11 107%
Geisinger $11 - $33 107%
Health Net $377 3653%
HealthPartners $11 - $629 107%
Oscar Health $18 174%
UPMC Health Plan $10 - $629 97%
+ 38 smaller / regional plans $10 - $629
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals