CMS Price Transparency Data
Culture, blood
Facility: Wellspan Surgery and Rehabilitation Hospital
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$39
about 3.9× the $10 Medicare rate · typically $12–$41
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $39 Cash price $42 Hospital's list price $53
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✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $31 | 300% |
| Blue Cross Blue Shieldmajor | $16 - $51 | 155% |
| Aetnamajor | $11 - $48 | 107% |
| Cignamajor | $44 - $48 | 426% |
| Geisinger | $50 | 484% |
| UPMC Health Plan | $49 | 475% |
| + 1 smaller / regional plan | $10 - $50 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wellspan Surgery and Rehabilitation Hospital
Compare: Culture, blood at other PA hospitals
- Penn State Health St. Joseph · Reading $10
- Milton S Hershey Medical Center · Hershey $10
- Advanced Surgical Hospital · Washington $10
- Penn State Health Hampden Medical Center · Enola $10
- Penn State Health Lancaster Medical Center · Lancaster $10
- Saint Vincent Hospital · Erie $11
- UPMC Jameson · New Castle $11
- Temple Health - Chestnut Hill Hospital · Philadelphia $11
Insurance negotiated median for the same procedure, sorted lowest first.