Culture, bacterial
Facility: Menifee Global Medical Center
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $152
- Cash Discount Price: $292
- vs. Medicare Baseline: 17.63x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1763% of the Medicare baseline (a markup of 1663%). 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.
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 Cross Blue Shield | $8 | 93% |
| Ic | $8 - $391 | 93% |
| Kaiser Medi-Cal | $8 | 93% |
| Tricare | $8 | 93% |
| Aetna | $9 - $248 | 104% |
| Altamed Comm Hmo (Ancillary) | $9 - $391 | 104% |
| Altamed Health Services Senior | $9 | 104% |
| Altamed Sr/Pace | $9 | 104% |
| Blue Shield Senior | $9 | 104% |
| Central Health Plan Senior | $9 | 104% |
| Clever Care Health Plan Sr | $9 | 104% |
| Coventry | $9 - $10 | 104% |
| For Your Benefit Senior | $9 | 104% |
| Guidant Health Plan Senior | $9 | 104% |
| Health Net Medi-Cal | $9 | 104% |
| Health Net Senior | $9 | 104% |
| Hpn Mcal | $9 | 104% |
| Hpn Senior | $9 | 104% |
| Humana | $9 | 104% |
| Imperial Health Plan Of Ca | $9 | 104% |
| Kaiser Senior | $9 | 104% |
| Lasalle Medical Assoc (Ancillary) Commercial | $9 | 104% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $9 | 104% |
| Lasalle Medical Assoc (Ancillary) Senior | $9 | 104% |
| Managed Health Network Sr | $9 | 104% |
| Medicare (plans) | $9 | 104% |
| Molina Medi-Cal | $9 | 104% |
| Neighborhood Healthcare Pace | $9 | 104% |
| Point Comfort Underwriters | $9 | 104% |
| Prime Health Services Wcomp | $9 | 104% |
| Primecare Senior | $9 | 104% |
| Prospect Health Plan Mcal Hmo | $9 | 104% |
| Prospect Health Plan Sr Hmo | $9 | 104% |
| Scan Senior | $9 | 104% |
| Self Pay/Ab774/Charity Discount | $9 | 104% |
| Sr Capitation | $9 | 104% |
| UnitedHealthcare | $9 - $10 | 104% |
| Veterans Administration | $9 | 104% |
| Align Senior Care | $10 | 116% |
| Prime Health Services Senior | $10 | 116% |
| Three Rivers Wcomp | $10 | 116% |
| Welbehealth Sr/Pace | $10 | 116% |
| Workers Comp Non-Contracted | $10 | 116% |
| Iehp Covered Ca | $11 | 128% |
| Iehp Medi-Cal | $11 | 128% |
| Molina Covered Ca | $11 | 128% |
| Altamed Mcal Hmo | $12 | 139% |
| Altamed Mcal/Pace | $12 | 139% |
| Choice Physicians Network | $12 | 139% |
| Health Net Enhanced Ppo | $12 | 139% |
| Hpn Commercial/Covered Ca | $12 | 139% |
| Prospect Health Plan Comm Hmo | $12 | 139% |
| Health Net Comm | $13 | 151% |
| Three Rivers Network | $15 | 174% |
| Velocity | $15 - $176 | 174% |
| Cigna | $17 - $313 | 197% |
| Blue Shield Epn | $24 | 278% |
| Blue Shield Commercial | $29 | 336% |
| First Health Commercial | $114 - $205 | 1323% |
| Primecare Commercial | $141 - $254 | 1636% |
| Multiplan Ppo | $152 - $274 | 1763% |
| Multiplan Wcomp | $152 - $274 | 1763% |
| Pnoa-Provider Network Of America | $174 - $313 | 2019% |
| Prime Health Services Commercial | $174 - $313 | 2019% |
| Ava Hospice | $217 - $391 | 2517% |
| Kaiser Commercial | $217 - $391 | 2517% |
| Living Waters Hospice | $217 - $391 | 2517% |
| Managed Health Network | $217 - $391 | 2517% |
| Other Insurance Loa | $217 - $391 | 2517% |
| Pacific Valley Hospice | $217 - $391 | 2517% |
| Private Pay | $217 - $391 | 2517% |
| Silverado Hospice | $217 - $391 | 2517% |
| Vna Hospice | $217 - $391 | 2517% |