CMS Price Transparency Data
Culture, blood
Facility: St Marys Rehabilitation Hospital
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$21
about 2.1× the $10 Medicare rate · typically $11–$72
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $21 Cash price $170 Hospital's list price $170
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $170 | 1647% |
| Aetnamajor | $170 | 1647% |
| Cignamajor | $170 | 1647% |
| Humanamajor | $170 | 1647% |
| Ambetter (Centene) | $170 | 1647% |
| + 11 smaller / regional plans | $170 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys 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.