CMS Price Transparency Data

Culture, bacterial

Facility: Lawrence Memorial Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $17
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Lawrence Memorial Hospital is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.97x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $17 (197%)
Insurance Median: $17 (197%)
Cash: $17 (197% of Medicare)
Ins. Median: $17 (197% 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
Blue Cross Blue Shield $1 - $17 12%
Allwell $9 - $18 104%
Ambetter / Centene $9 - $22 104%
Amerigroup $9 - $17 104%
Cigna $9 - $17 104%
Humana $9 - $17 104%
Wellcare $9 - $30 104%
Qualchoice $10 - $22 116%
Arkansas Total Care $12 139%
Caresource $13 - $28 151%
Empower Healthcare Solutions $13 151%
Arkansas Superior Select $14 - $17 162%
Provider Partners Health Plans $14 - $17 162%
Wellcare By Allwell $14 - $17 162%
Wellcare Health Plans $14 - $17 162%
Qualchoice Of Arkansas $17 - $21 197%
Aetna $20 - $24 232%
Assured Benefits Administrators $21 - $25 244%
Healthlink $23 - $28 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1309 West Main Street, Walnut Ridge, AR 72476
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals