CMS Price Transparency Data

Culture, bacterial

Facility: Mercy Rehabilitation Hospital Northwest Arkansas

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $117
Cash Discount Price: $117
vs. Medicare Baseline: 13.57x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Mercy Rehabilitation Hospital Northwest Arkansas is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 13.57x the Medicare baseline. Located in 4313 S Pleasant Crossing Blvd, Rogers, AR.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $117 (1357%)

Insurance Median: $117 (1357%)

Cash: $117 (1357% of Medicare)

Ins. Median: $117 (1357% 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 1357% of the Medicare baseline (a markup of 1257%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Phcs	$13 - $167	151%
Multiplan	$14 - $180	162%
Aetna	$17 - $211	197%
Ambetter / Centene	$17 - $211	197%
American Health Plan	$17 - $211	197%
Arkansas Total Care (Passe)	$17 - $211	197%
Blue Cross Blue Shield	$17 - $211	197%
Care Source (Passe)	$17 - $211	197%
Cigna	$17 - $211	197%
Devoted	$17 - $211	197%
Empower	$17 - $211	197%
Essence	$17 - $211	197%
Humana	$17 - $211	197%
Medicaid / KanCare	$17 - $211	197%
Medicare (plans)	$17 - $211	197%
Municipal League	$17 - $211	197%
Qualchoice	$17 - $211	197%
Summit (Passe)	$17 - $211	197%
UnitedHealthcare	$17 - $211	197%
Vaccn	$17 - $211	197%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $117.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87070.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Rehabilitation Hospital Northwest Arkansas is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87070.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.