CMS Price Transparency Data

Culture, bacterial

Facility: City of Hope National Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $8
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at City of Hope National Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 0.93x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $6 (70%)
Insurance Median: $8 (93%)
Cash: $6 (70% of Medicare)
Ins. Median: $8 (93% 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
Blue Cross Blue Shield $2 - $108 23%
Blue Shield $2 - $200 23%
Blue Shield Covca $2 - $94 23%
Heritage Provider Network $2 - $108 23%
UnitedHealthcare $2 - $87 23%
Blue Shield Promise $3 - $108 35%
Cencal $3 - $124 35%
Inland Empire $3 - $124 35%
Kaiser $3 - $139 35%
La Care Health $3 - $124 35%
Aetna $4 - $155 46%
Cigna $4 - $166 46%
Gold Coast $4 - $155 46%
Health Net $4 - $150 46%
Healthcare Partners $4 - $180 46%
Molina $4 - $201 46%
Prime Healthcare Keenan $4 - $149 46%
Primecare Medical Network $5 - $201 58%
St. Joseph Heritage $5 - $186 58%
First Health $6 - $239 70%
Phcs Multiplan $7 - $279 81%
Cal Optima $8 - $11 93%
Facey $8 - $11 93%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 Duarte Rd, Duarte, CA 91010
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL