CMS Price Transparency Data

Culture, bacterial

Facility: Adventist Health White Memorial Montebello

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $117
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 13.57x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Adventist Health White Memorial Montebello is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 13.57x the Medicare baseline. Located in 309 W Beverly Blvd, Montebello, CA.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $9 (104%)
Insurance Median: $117 (1357%)
Cash: $9 (104% of Medicare)
Ins. Median: $117 (1357% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1357% of the Medicare baseline (a markup of 1257%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $9 - $221 104%
Alignment Health Plan-All Plans $9 104%
Altamed Mcare-All Other Plans $9 104%
Blue Shield Mcare Adv $9 104%
Brand New Day Mcare-All Other Plans $9 104%
Brandman Health Plan-All Plans $9 104%
Caremore-All Plans $9 104%
Clever Care Hp-All Plans $9 104%
Easy Choice Mcare Adv-All Plans $9 104%
Healthnet Med Adv $9 104%
Kaiser Mcare Adv $9 104%
Oscar-All Plans $9 104%
Scan Health-All Plans $9 104%
Altamed Mcal $10 116%
Bc Mcal $10 116%
Blue Shield Promise Mcal $10 116%
Brand New Day Mcal $10 116%
Healthnet Mcal $10 116%
Kaiser Mcal $10 116%
La Care Mcal $10 116%
Medi-Cal $10 116%
Molina Mcal - All Plans $10 116%
Blue Shield Epn Ifp $12 139%
Cigna $16 186%
Healthnet Salud $66 - $179 766%
Healthcare Partners-All Plans $108 - $295 1253%
Blue Cross Blue Shield $147 - $400 1705%
Blue Shield Epn Core $271 3144%
Blue Shield Comm - All Other Plans $281 3260%
Healthnet Comm-All Other Plans $515 5974%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 309 W Beverly Blvd, Montebello, CA 90640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals