CMS Price Transparency Data

Culture, bacterial

Facility: Banner - University Medical Center Phoenix

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $14
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Banner - University Medical Center Phoenix is $14. 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 1.62x the Medicare baseline. Located in 1111 East McDowell Road, Phoenix, AZ.
Cash / Self-Pay
$17

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: $17 (197%)
Insurance Median: $14 (162%)
Cash: $17 (197% 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
Aetna $9 - $144 104%
Arizona Physicians Ipa $9 104%
Arizona Priority Care $9 104%
Banner Health $9 104%
Banner University Health Plan $9 104%
Blue Cross Blue Shield $9 - $40 104%
Care 1St $9 104%
Carelon $9 104%
Cigna $9 - $17 104%
Devoted Health Services $9 104%
Gila River Health Care Corporation $9 104%
Gold Kidney Health Plan $9 104%
Health Choice Arizona, Inc. $9 - $13 104%
Health Net $9 - $13 104%
Humana $9 104%
Kaiser Foundation Health Plan $9 104%
Mercy Care $9 104%
Triwest Healthcare Alliance Corp - Va Ccn $9 104%
UnitedHealthcare $9 - $19 104%
Upmc Health Plan $9 104%
Wellpoint $9 104%
Naphcare $12 139%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $12 - $123 139%
Plotkin Health $12 - $123 139%
Oscar Health Plan $14 162%
Quiktrip Corporation $14 - $147 162%
Arizona Medical Network $18 - $191 209%
Provider Network Of America $20 - $205 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 East McDowell Road, Phoenix, AZ 85006
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals