CMS Price Transparency Data

Culture, blood

Facility: Pelham Medical Center

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$21
about 2.1× the $10 Medicare rate · typically $12–$21
modeled estimate · not a bill or quote
What this hospital charges insurers
$20
About the fair price
about $1 under the fair price · 2.0× Medicare
Medicare pays $10 Fair price $21 This hospital $20 Cash price $154 Hospital's list price $256

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $10 Priciest $20

Black dot = this hospital, among the 9 SC 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 $21 (about 2.1× the $10 Medicare rate). Pelham Medical Center charges insurers about $20, or about $154 in cash — about the fair price. Located in Greer, SC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $12 116%
Blue Cross Blue Shieldmajor $10 - $57 97%
Aetnamajor $11 107%
Cignamajor $11 - $20 107%
Humanamajor $10 97%
Devoted Health $11 107%
Health Net $29 281%
Molina $19 184%
SelectHealth $21 203%
+ 1 smaller / regional plan $11

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 250 Westmoreland Road, Greer, SC 29651
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals