CMS Price Transparency Data

Culture, bacterial

Facility: Northwest Medical Center Sahuarita

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $283
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Northwest Medical Center Sahuarita is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $283. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$283

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $283 (3283%)
Insurance Median: $9 (104%)
Cash: $283 (3283% of Medicare)
Ins. Median: $9 (104% 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 - $13 93%
Blue Cross Blue Shield $8 - $133 93%
Cigna $8 - $14 93%
Department Of Veterans Affairs $8 93%
Humana $8 93%
Medicare (plans) $8 93%
Mercy Care $8 - $9 93%
Node Caremore Mcr Adv $8 93%
Node Champva $8 93%
Node Mercy Care Mcr Adv $8 93%
Tricare $8 93%
UnitedHealthcare $8 - $10 93%
Banner Mcr Adv $9 104%
Medicaid / KanCare $9 104%
Node Banner Mcr Adv $9 104%
Node Clover Health Mcr Adv $9 104%
Node Devoted Health Mcr Adv $9 104%
Node Non Par Hospice Agree $9 104%
Node Triwest $9 104%
Node Va $9 104%
Node Wellcare Mcr Adv $9 104%
Node Us Dept Of Labor $11 128%
Ambetter / Centene $12 139%
Node Health Choice Health Exchange $13 151%
Node Fusion Network $16 186%
Node J Allen Inmate Health Svcs $16 186%
Self Pay $179 - $388 2077%
Coventry Work Comp Al $596 6914%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals