CMS Price Transparency Data

Culture, bacterial

Facility: Redlands Community Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $11
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Redlands Community Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.28x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $70 (812%)
Insurance Median: $11 (128%)
Cash: $70 (812% of Medicare)
Ins. Median: $11 (128% 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
Pacificare (Rmg) - All Other Plans $3 - $172 35%
Heritage/Regal Med Grp Sr $5 - $286 58%
Heritage/Regal Med Grp-All Other Plans $5 - $286 58%
Mhn-All Plans $5 - $286 58%
Aetna $6 - $372 70%
Beaver-All Other Plans $6 - $360 70%
Blue Shield Ppo/Epo/Hmo - All Other Plans $6 - $342 70%
Pinnacle Op Only-All Plans $6 - $360 70%
Rymg Op Only-All Plans $6 - $572 70%
Coventry-All Plans $7 - $400 81%
Kaiser Medi-Cal $7 81%
Multiplan Kaiser $7 - $412 81%
Aps-All Plans $8 - $486 93%
Choicecare-All Plans $8 - $458 93%
Cigna $8 - $429 93%
Interplan - All Plans $8 - $458 93%
Alinment Health Plan Mcr Adv-All Plans $9 104%
Beech Street-All Plans $9 - $515 104%
Epic Health Plan Senior $9 104%
Health Net Healthy Families $9 104%
Health Net Healthy Kids $9 104%
Health Net Mcr Adv $9 104%
Iehp Health Access Senior $9 104%
Iehp Mcr Adv $9 104%
Kaiser Senior $9 104%
Medicare (plans) $9 104%
Tricare $9 104%
UnitedHealthcare $9 - $251 104%
Universal Care-All Plans $9 104%
Caremore Mcr Adv-All Plans $10 116%
Central Health Plan Sr-All Plans $10 116%
Llumc Sr $10 116%
Medi-Cal $10 - $572 116%
Dsh - All Plans $11 128%
Epic Health Plan-All Other Plans $11 128%
Iehp Healthy Family And Kids $11 - $629 128%
Patton Dsh Mcr Adv-All Plans $11 128%
Iehp - All Other Plans $12 - $669 139%
Llumc-All Other Plans $12 139%
Molina Medi-Cal $17 - $970 197%
Blue Shield Mcare $24 278%
Blue Cross Blue Shield $49 568%
Health Net-All Other Plans $49 568%
Kaiser Comm-All Other Plans $50 580%
Pacificare Bmg/Rymg Groups Only $128 1485%
Holman-All Plans $403 4675%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals