CMS Price Transparency Data

Culture, bacterial

Facility: San Gorgonio Memorial Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at San Gorgonio Memorial Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 600 North Highland Springs Avenue, Banning, CA.
Cash / Self-Pay
$27

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: $27 (313%)
Insurance Median: $9 (104%)
Cash: $27 (313% 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
Lasalle Medical Associates $8 93%
Beaver Medical Group $9 104%
Blue Cross Blue Shield $9 - $18 104%
Blue Shield $9 - $142 104%
Choice Physicians Network $9 104%
Easy Choice Health Plan $9 104%
Epic Management $9 104%
Health Net $9 - $12 104%
Heritage Provider Network $9 104%
Inland Empire Health Plan $9 104%
Kaiser $9 - $26 104%
Providence Health Network $9 104%
Redlands Community Hospital $9 - $10 104%
UnitedHealthcare $9 104%
Velocity $9 104%
Imperial Health Plan $10 116%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 North Highland Springs Avenue, Banning, CA 92220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals