CMS Price Transparency Data

Culture, bacterial

Facility: Verde Valley Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $12
  • Cash Discount Price: $132
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Verde Valley Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.39x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$132

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $132 (1531%)
Insurance Median: $12 (139%)
Cash: $132 (1531% of Medicare)
Ins. Median: $12 (139% 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 $8 - $229 93%
Community Health Center Of Yavapai $8 93%
Health Choice $8 - $16 93%
Health Net Federal $8 93%
Humana $8 93%
Medicare (plans) $8 93%
Mercy Care Advantage $8 93%
Snf Vvmc $8 93%
UnitedHealthcare $8 - $244 93%
University Of Arizona Health Plans $8 - $12 93%
Vvmc 30/70 $8 93%
Wellcare $8 93%
Wellcare By Allwell $8 93%
Ahcccs $9 104%
Devoted $9 104%
Health Choice Integrated Care $9 104%
Mercy Care Rhba $9 104%
Va Pccc Triwest $9 104%
Ambetter / Centene $10 116%
Gold Kidney $10 116%
Ahcccs Other $12 139%
Care 1St $12 139%
Health Choice Arizona $12 139%
Health Net Of Arizona $12 139%
Mercy Care $12 139%
Nhi Out Of State Ahcccs $12 139%
Vvmc Jail $12 139%
Pnoa-Provider Network Of America $13 151%
Naphcare $15 - $17 174%
Self Pay $132 - $264 1531%
Self-Pay 50% Discount $132 1531%
Blue Cross Blue Shield $154 - $192 1787%
Workers Comp $172 1995%
Copperpoint $192 2227%
Cigna $237 2749%
Vvmc 90/10 $237 2749%
Auto Insurance $5,000 58005%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals