CMS Price Transparency Data

Culture, bacterial

Facility: Alhambra Hospital Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $10
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Alhambra Hospital Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.16x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $77 (893%)
Insurance Median: $10 (116%)
Cash: $77 (893% of Medicare)
Ins. Median: $10 (116% 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
Ahmc-Reciprocity-Comm/Senior $3 - $132 35%
Allied Physicians Comm/Sr $3 - $154 35%
Allied Physicians Medi-Cal $3 - $154 35%
Molina Health Plan $3 - $172 35%
Self Pay $3 - $176 35%
Wellcare Allied Senior Hmo $3 - $154 35%
Cigna $4 - $198 46%
Health Net Exchange Enhanced Ppo $4 - $187 46%
Kaiser Commercial $5 - $273 58%
Medicare (plans) $5 - $265 58%
Scan Senior Plan $5 - $287 58%
Stewart Mg Senior Hmo $6 70%
Multiplan $7 - $353 81%
Aetna $8 - $15 93%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $8 93%
Allied Physicians Of Ca Medi-Cal $8 - $9 93%
Altamed Senior Services $8 93%
Apa Aco $8 93%
Blue Cross Blue Shield $8 - $16 93%
Blue Shield 65 Plus $8 93%
Brand New Day Sr $8 93%
Central Health Plan Of Ca Senior Hmo $8 93%
Citrus Valley Health Partners $8 93%
Health Net Medi-Cal $8 - $9 93%
Health Net Senior Hmo $8 93%
Humana $8 - $9 93%
Kaiser Medi-Cal $8 93%
La Care Exchange $8 - $9 93%
La Care Medi-Cal Hmo $8 - $9 93%
La Care Pasc Seiu Misc $8 93%
Medi-Cal $8 - $9 93%
Miscellaneous Commercial Ppo/Hmo $8 - $441 93%
Miscellaneous Medi-Cal Hmo $8 93%
Miscellaneous Senior Hmo $8 - $9 93%
Miscellaneous Work Comp Hmo $8 - $10 93%
Tricare $8 - $10 93%
UnitedHealthcare $8 - $17 93%
Wellcare Senior Hmo $8 - $9 93%
Alignment Senior Hmo $9 104%
Health Net Exchange $10 - $11 116%
Health Net Salud Con Hmo $10 116%
Molina Exchange $10 - $11 116%
Ahmc Health $12 - $13 139%
Allied Physicians Of Ca Commercial $13 151%
Health Net Ppo/Epo/Pos $18 209%
Blue Shield Value Network Exchange $107 1241%
Blue Shield Hmo/Ppo $120 1392%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals