CMS Price Transparency Data

Culture, bacterial

Facility: AHMC Seton Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $10
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at AHMC Seton Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.16x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$121

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: $121 (1404%)
Insurance Median: $10 (116%)
Cash: $121 (1404% 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
Self Pay $1 - $131 12%
Chinese Community Health Plan $5 - $193 58%
Jade Health Care Mg $5 - $193 58%
Blue Cross Blue Shield $6 - $293 70%
Interplan Corporation $6 - $232 70%
Veterans Administration (Va) $6 70%
Health Net $7 - $296 81%
Healthcare Foundation Of San Mateo $7 - $290 81%
Multiplan/Bce Emergis $7 - $290 81%
Private Healthcare Sytems Inc $7 - $290 81%
The First Health Network $7 - $290 81%
Aetna $8 - $26 93%
Asian American Medical Group $8 - $11 93%
Beech Street Corporation $8 - $309 93%
Blue Shield Of California $8 - $110 93%
Brand New Day $8 - $11 93%
Brown And Toland Medical Group $8 - $11 93%
Care Advantage $8 93%
Choicecare Network $8 - $328 93%
For Your Benefit $8 93%
Healthnet Seniority $8 93%
Humana $8 93%
Imperial Health Plan $8 93%
Kaiser $8 - $317 93%
Medi-Cal $8 93%
Medicare (plans) $8 93%
Multiplan $8 - $328 93%
North East Medical Services $8 - $11 93%
Pacificare $8 93%
Apcmg $9 - $13 104%
Canopy Health $9 - $16 104%
Central Health Plan $9 104%
Cmac $9 - $10 104%
Covid-19 Uninsured Program $9 104%
Easy Choice Hospital Services $9 104%
Hill Physicians Medical Group Inc $9 - $10 104%
Mills Peninsula Health Services $9 - $347 104%
San Mateo County/San Mateo County General Hospital $9 104%
UnitedHealthcare $9 - $17 104%
Athens Administrators $10 116%
Cigna $10 - $45 116%
Corvel Healthcare $10 116%
Health Plan Of San Mateo $10 - $12 116%
Health Plan Of San Mateo Healthworx $10 - $11 116%
Indemnity $10 - $386 116%
Knox-Keene Act $10 - $11 116%
San Francisco Health Plan $10 - $11 116%
Tricare $10 116%
Work Comp Other $10 116%
Workers Compensation Federal $10 - $386 116%
Ahmc Health $11 128%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals