CMS Price Transparency Data

Culture, blood

Facility: UPMC Kane

Billing Code: 87040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$20
about 2.0× the $10 Medicare rate · typically $11–$46
modeled estimate · not a bill or quote
What this hospital charges insurers
$21
About the fair price
about $1 over the fair price · 2.1× Medicare
Medicare pays $10 Fair price $20 This hospital $21 Cash price $56 Hospital's list price $94

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 $21

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 $20 (about 2.0× the $10 Medicare rate). UPMC Kane charges insurers about $21, or about $56 in cash — about the fair price. Located in Kane, PA.

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 $14 - $38 136%
Blue Cross Blue Shieldmajor $21 - $55 203%
Aetnamajor $15 - $36 145%
Cignamajor $66 - $2,116 640%
AmeriHealth $22 - $38 213%
Geisinger $19 184%
UPMC Health Plan $10 - $47 97%
+ 5 smaller / regional plans $11 - $89
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: 4372 Route 6, Kane, PA 16735
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals