CMS Price Transparency Data
Culture, blood
Facility: UPMC Children's Hospital of Pittsburgh
Billing Code: 87040 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$21
about 2.1× the $10 Medicare rate · typically $12–$51
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $21 Cash price $155 Hospital's list price $259
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 | $56 - $122 | 543% |
| Blue Cross Blue Shieldmajor | $11 - $85 | 107% |
| Aetnamajor | $9 - $142 | 87% |
| Cignamajor | $11 - $142 | 107% |
| AmeriHealth | $11 - $52 | 107% |
| Geisinger | $58 - $116 | 562% |
| HealthPartners | $54 | 523% |
| UPMC Health Plan | $32 - $80 | 310% |
| + 7 smaller / regional plans | $10 - $233 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at UPMC Children's Hospital of Pittsburgh
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.