CMS Price Transparency Data

Culture, blood

Facility: Shriners Hospitals for Children - Philadelphia

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12
about 1.2× the $10 Medicare rate · typically $12–$18
modeled estimate · not a bill or quote
What this hospital charges insurers
$14
Above the fair price
about $2 over the fair price · 1.4× Medicare
Medicare pays $10 Fair price $12 This hospital $14 Cash price $91 Hospital's list price $91

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 $14

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 $12 (about 1.2× the $10 Medicare rate). Shriners Hospitals for Children - Philadelphia charges insurers about $14, or about $91 in cash — above the fair price. Located in Philadelphia, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $12. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $14 - $22 136%
Aetnamajor $10 - $14 97%
Cignamajor $11 107%
Humanamajor $13 126%
Ambetter (Centene) $10 - $19 97%
AmeriHealth $12 - $19 116%
Geisinger $14 136%
HealthPartners $14 136%
Providence Health Plan $11 107%
UPMC Health Plan $14 136%
WellCare $19 184%
+ 3 smaller / regional plans $14
Government programs also on file: Medicaid.

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: 3551 N Broad Street, Philadelphia, PA 19104
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens