CMS Price Transparency Data

Culture, bacterial

Facility: Adventist Health Lodi Memorial

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $36
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Adventist Health Lodi Memorial is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$36

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $36 (418%)
Insurance Median: $9 (104%)
Cash: $36 (418% of Medicare)
Ins. Median: $9 (104% 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 Shield Epn - All Other Plans $2 - $288 23%
Medcore(Omni Ipa) Op Only- All Plans $2 - $231 23%
Bc Mcal $3 35%
Blue Shield Non-Epn $3 - $299 35%
Kaiser Commercial - All Other Plans $3 - $365 35%
UnitedHealthcare $3 - $369 35%
Healthnet- All Other Plans $4 - $437 46%
Networks By Design- All Plans $4 - $445 46%
First Health- All Plans $6 - $730 70%
Multiplan- All Plans $6 - $712 70%
Beech Street- All Plans $7 - $801 81%
Cigna $7 - $801 81%
Hp Of San Joaquin Ppo - All Other Plans $7 - $846 81%
Three Rivers Provider Network- All Plans $7 - $801 81%
Western Growers- All Plans $7 - $801 81%
Celtic Ins Company - All Plans $8 - $11 93%
Healthnet Mcal $8 - $14 93%
Hp Of San Joaquin Mcal $8 - $12 93%
Kaiser Mcal $8 - $10 93%
Medi-Cal $8 - $10 93%
Alignment Health Plan (Ahp)-All Plans $9 104%
Blue Shield Mcare Adv $9 104%
Cca Health Plan Mcr Adv- All Plans $9 104%
Healthnet Mcare $9 104%
Hp Of San Joaquin Mcr Adv $9 104%
Humana $9 104%
Kaiser Mcr Adv $9 104%
Tricare $9 104%
Knnex Health - All Plans $10 116%
Ah Employee Health Plan - All Plans $16 186%
Bright Health - All Plans $17 197%
Aetna $29 336%
Blue Cross Blue Shield $85 - $95 986%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals