CMS Price Transparency Data

Culture, bacterial

Facility: Adventist Health Delano

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Adventist Health Delano is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.
Cash / Self-Pay
$19

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: $19 (220%)
Insurance Median: $9 (104%)
Cash: $19 (220% 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 - $40 23%
Blue Cross Blue Shield $3 - $153 35%
Blue Shield Non-Epn $5 - $120 58%
County Of Kern Network - All Plans $5 - $129 58%
Coventry- All Plans $5 - $110 58%
Gem Care- All Plans $5 - $129 58%
Healthnet- All Other Plans $5 - $124 58%
UnitedHealthcare $5 - $132 58%
Cigna $6 - $147 70%
Foundation For Medical Care Of Kern County - All P $6 - $138 70%
Western Growers - All Plans $6 - $149 70%
Dignty Hlth Mcal Op Only $8 - $10 93%
Healthnet Medi-Cal $8 - $12 93%
Kaiser Medi-Cal Ip/Op Only $8 - $10 93%
Kern Health System Mcal $8 - $13 93%
Medi-Cal $8 - $10 93%
Universal Care Mcal $8 - $10 93%
Bakersfield Fam Med Grp-All Plans $9 104%
Healthnet Mcr Adv $9 104%
Kern Mcr Adv Dual Dnsp-All Other Plans $9 104%
Medicare (plans) $9 - $14 104%
Tricare $9 104%
Universal Care Mcr- All Other Plans $9 104%
Kaiser Comm Ip/Op Only- All Other Plans $15 174%
Ah Employee Health Plan - All Plans $16 186%
Centivo - All Plans $19 220%
Aetna $57 661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals