Culture, bacterial
Facility: San Gabriel Valley Medical Center
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $221
- Cash Discount Price: $168
- vs. Medicare Baseline: 25.64x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 2564% of the Medicare baseline (a markup of 2464%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Administration | $6 | 70% |
| Aetna | $8 - $15 | 93% |
| Ahmc Medi-Cal Reciprocity | $8 | 93% |
| Alignment Health Plan | $8 | 93% |
| Allied Physicians | $8 - $13 | 93% |
| Altamed Health Network | $8 | 93% |
| Apa/Aco Inc | $8 | 93% |
| Avanti | $8 - $10 | 93% |
| Beverly Hospital | $8 - $9 | 93% |
| Blue Cross Blue Shield | $8 - $42 | 93% |
| Blue Shield Of California | $8 - $121 | 93% |
| Brand New Day | $8 - $204 | 93% |
| Central Health Plan | $8 - $350 | 93% |
| Emanate Health | $8 - $11 | 93% |
| Health Net | $8 - $339 | 93% |
| Health Net Inc | $8 - $20 | 93% |
| Healthnet Medi-Cal Non-Contract | $8 | 93% |
| Healthy Way La | $8 | 93% |
| Humana | $8 | 93% |
| La Care Health Plan | $8 - $9 | 93% |
| Medicare (plans) | $8 | 93% |
| Molina Healthcare Of California | $8 - $227 | 93% |
| Non Contracting Medi Cal | $8 | 93% |
| Pacific Alliance Medical Center | $8 | 93% |
| Pacificare Of California | $8 - $191 | 93% |
| Providence Health Network | $8 | 93% |
| Tricare | $8 | 93% |
| Wellcare | $8 | 93% |
| Aids Healthcare Foundation | $9 - $233 | 104% |
| Cv-19 Hrsa Uninsured Testing And Tx | $9 | 104% |
| Hollywood Presbyterian Adv Med Mcal | $9 | 104% |
| Hollywood Presbyterian Medpoint Mcal | $9 | 104% |
| Inter Valley Health Plan | $9 | 104% |
| Medicaid / KanCare | $9 | 104% |
| Physicians Healthways | $9 | 104% |
| Self-Pay | $9 | 104% |
| St Vincent Medical Center/Psych | $9 | 104% |
| Athens Administrators | $10 | 116% |
| Beech Street | $10 - $466 | 116% |
| Chinatown Service Center Pace | $10 | 116% |
| Cigna | $10 | 116% |
| Other Non Contracting Workers Comp | $10 | 116% |
| Ahmc Health Self-Insurance Epo | $11 | 128% |
| Care 1St Health Plan | $11 - $379 | 128% |
| Knox-Keene Act | $11 | 128% |
| UnitedHealthcare | $17 - $34 | 197% |
| Private Pay | $25 | 290% |
| Ahmc Reciprocity | $119 - $175 | 1381% |
| Alignment Healthplan | $139 - $204 | 1613% |
| Clever Care | $139 - $204 | 1613% |
| Pacific Independent Physician Associates | $159 - $233 | 1845% |
| Facey Medical | $199 - $292 | 2309% |
| Community Care Network | $259 - $379 | 3005% |
| Choicecare Network | $279 - $408 | 3237% |
| Private Healthcare Systems (Phcs) | $279 - $408 | 3237% |
| Affiliated Health Fund | $298 - $437 | 3457% |
| Multiplan | $358 - $525 | 4153% |
| Ppo Next | $358 - $525 | 4153% |
| Managed Health Network | $398 - $583 | 4617% |
| Medi-Cal Sub Acute | $398 - $583 | 4617% |
| One Legacy | $398 - $583 | 4617% |
| Other Non Contracted Commercial | $398 - $583 | 4617% |
| Us Behavioral Health Plan | $398 - $583 | 4617% |