CMS Price Transparency Data

Culture, bacterial

Facility: Community Memorial Hospital - Ventura

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Community Memorial Hospital - Ventura is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.
Cash / Self-Pay
$20

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: $20 (232%)
Insurance Median: $9 (104%)
Cash: $20 (232% 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
Valley Care $2 - $14 23%
Ventura County Health Care Plan $2 - $14 23%
Gold Coast Health Plan $3 - $20 35%
Medicaid / KanCare $3 - $20 35%
Multiplan $5 - $35 58%
Seaview $7 81%
Aetna $8 - $59 93%
Alignment Health Plan $8 - $9 93%
Blue Cross Blue Shield $8 - $12 93%
California Workers Compensation $8 - $9 93%
Health Net Commercial $8 - $36 93%
Humana $8 - $9 93%
Medi-Cal $8 - $11 93%
Medicare (plans) $8 - $9 93%
Non Contracted $8 - $9 93%
Scan Health Plan $8 - $9 93%
Tricare $8 - $9 93%
UnitedHealthcare $8 - $15 93%
Wellcare Of California $8 - $9 93%
Cigna $11 128%
Kaiser Commercial $31 360%
Blue Shield Epn $34 394%
Blue Shield Commercial $38 441%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 147 North Brent Street, Ventura, CA 93003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals