CMS Price Transparency Data

Culture, bacterial

Facility: The East Alabama Healthcare Authority

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $70
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 8.12x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at The East Alabama Healthcare Authority is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 8.12x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)
Cash / Self-Pay: $49 (568%)
Insurance Median: $70 (812%)
Cash: $49 (568% of Medicare)
Ins. Median: $70 (812% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 812% of the Medicare baseline (a markup of 712%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $9 - $91 104%
Beechstreet $9 - $77 104%
Blue Cross Blue Shield $9 - $13 104%
Cigna $9 - $16 104%
Humana $9 - $64 104%
Simpra $9 104%
Viva $9 - $20 104%
Novanet $13 - $14 151%
Alabama Crime Victims $44 - $46 510%
Mcm Maxcare $70 - $73 812%
Mega Life $70 - $73 812%
UnitedHealthcare $70 - $73 812%
Coventry First Health $75 - $77 870%
Geha $75 - $77 870%
Multiplan $75 - $77 870%
Workers Comp $75 - $77 870%
Trpn $79 - $82 916%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Pepperell Parkway, Opelika, AL 36801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals