CMS Price Transparency Data

Culture, bacterial

Facility: University of Alabama Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $119
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 13.81x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at University of Alabama Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 13.81x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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%)
Insurance Median: $119 (1381%)
Ins. Median: $119 (1381% 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 1381% of the Medicare baseline (a markup of 1281%). 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.

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $8 - $202 93%
Birmingham Fc $9 104%
Blue Cross Blue Shield $9 104%
Cigna $9 - $159 104%
Cooper Green $9 104%
Davita Villagehealth $9 104%
Jefferson County Sheriff $9 104%
Triwest $9 104%
UnitedHealthcare $9 - $129 104%
Viva $9 - $11 104%
Ambetter / Centene $12 139%
University Of Alabama $48 - $119 557%
Aetna $58 - $145 673%
Coventry $62 - $192 719%
North Alabama Managed Care $62 - $155 719%
Comp One $68 - $171 789%
Alamed $71 - $178 824%
Construction Claims Management $71 - $178 824%
Corvel $76 - $190 882%
Evolutions $76 - $214 882%
Healthcare Alliance $76 - $190 882%
Novanet $76 - $214 882%
Prime Health Services $76 - $214 882%
Select Value Care $76 - $190 882%
Starcare $76 - $190 882%
Tethys $76 - $190 882%
Multiplan $78 - $195 905%
Department Of Labor $81 - $202 940%
Geha $81 - $202 940%
Gulf Health Plans $81 - $202 940%
Heritage Summit Health $81 - $202 940%
Mississippi Physicians $81 - $202 940%
Phifer $81 - $202 940%
Preferred Health Partnership $81 - $202 940%
Southern Nuclear $81 - $202 940%
Vantage Health Plan $81 - $202 940%
Galaxy Health Network $86 - $214 998%
National Provider Network $86 - $214 998%
North Mississippi Health Link $86 - $214 998%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals