CMS Price Transparency Data

Culture, bacterial

Facility: Flowers Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $14
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Flowers Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.62x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $79 (916%)
Insurance Median: $14 (162%)
Cash: $79 (916% of Medicare)
Ins. Median: $14 (162% 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.

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
Medicaid / KanCare $4 - $6 46%
Alabama Rehab $6 70%
Bc Pml $7 81%
Node Champva $7 81%
Tricare $7 81%
Blue Cross Blue Shield $8 - $11 93%
Humana $8 93%
Medicare (plans) $8 93%
Node Viva Mcr Adv $8 93%
UnitedHealthcare $8 - $9 93%
Aetna $9 - $255 104%
Care Improvement Plus $9 104%
Cigna $9 - $14 104%
Compassionate Hands $9 104%
Covenant Hospice $9 104%
Dayspring Hospice $9 104%
Eon Health Care $9 104%
Node Clover Health Mcr Adv $9 104%
Node Devoted Health Mcr Adv $9 104%
Node Hospice Non Par $9 104%
Node Va $9 104%
Node Wellcare Mcr Adv $9 104%
Occunet $9 104%
Prime Health $9 - $246 104%
Select Health $9 104%
Southern Care Hospice $9 104%
Veterans Eval Services $9 104%
Vistacare Hospice $9 104%
Wiregrass Hospice $9 104%
Node Us Dept Of Labor $11 128%
Ambetter / Centene $13 151%
Self Pay $52 - $105 603%
S & S Healthcare $87 1009%
Choicecare Commercial $122 1415%
American Employee Alliance $140 1624%
Coventry Healthcare $174 - $266 2019%
Viva Health $209 2425%
Multiplan $227 - $279 2633%
Standard Textile $244 2831%
Alamed Wc $246 2854%
Health Choice $255 2958%
Equian $262 - $275 3039%
Qhp $262 3039%
Novanet $279 3237%
Alabama Work Comp $290 3364%
Ccn/Mednet Ppo $297 3445%
Corvel $297 3445%
Industry Buying Group $297 3445%
Galaxy Health $314 3643%
Health Payors Org $314 3643%
National Provider Net $314 3643%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals