CMS Price Transparency Data
Culture, bacterial
Facility: Whittier Hospital Medical Center
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $26
- Cash Discount Price: $13
- vs. Medicare Baseline: 3.02x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Whittier Hospital Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 3.02x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$13
Average discount available for prompt cash payment at this facility.
Insurance Median
$26
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: $13 (151%)
Insurance Median: $26 (302%)
Cash: $13 (151% of Medicare)
Ins. Median: $26 (302% 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 302% of the Medicare baseline (a markup of 202%). 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.
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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 | $1 - $124 | 12% |
| Capnet | $1 - $10 | 12% |
| Physician Healthways | $1 - $25 | 12% |
| Physicians Healthways Medical Corporation | $3 - $62 | 35% |
| Ahmc Reciprocity | $4 - $74 | 46% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4 - $74 | 46% |
| Edward Medical Group | $4 - $87 | 46% |
| Pacific Independent Physician Association | $4 - $74 | 46% |
| UnitedHealthcare | $4 - $216 | 46% |
| Wear And Wood | $4 - $99 | 46% |
| Central Health Plan Of California | $5 - $99 | 58% |
| Molina Medical Center | $5 - $97 | 58% |
| Allied Physicians Ipa | $6 - $112 | 70% |
| Blue Shield Of California | $6 - $124 | 70% |
| Veterans Administration | $6 | 70% |
| Health Net | $7 - $148 | 81% |
| La Care Health Plan | $7 - $136 | 81% |
| Prospect Medical | $7 - $136 | 81% |
| Aetna | $8 - $181 | 93% |
| Ahmc Medi-Cal Reciprocity Agreement | $8 | 93% |
| Aids Healthcare Foundation | $8 | 93% |
| Alignment Health Plan | $8 | 93% |
| Allied Physicians | $8 - $13 | 93% |
| Alta Los Angeles Hospitals Inc | $8 | 93% |
| Alta Med Health Network | $8 | 93% |
| Altamed Health Services Corporation | $8 | 93% |
| Apa/Aco Inc | $8 | 93% |
| Avanti | $8 - $10 | 93% |
| Beverly Hospital | $8 - $9 | 93% |
| Brand New Day | $8 - $11 | 93% |
| Caloptima | $8 - $11 | 93% |
| Care 1St Health Plan | $8 - $149 | 93% |
| Central Health Plan | $8 | 93% |
| Cost Containment | $8 - $161 | 93% |
| Davita Healthcare Partners | $8 - $161 | 93% |
| Easy Choice Health Plan | $8 | 93% |
| Emanate Health | $8 - $11 | 93% |
| Health Net Inc | $8 - $161 | 93% |
| Healthy Way La | $8 | 93% |
| Heritage Provider Network | $8 - $12 | 93% |
| Humana | $8 | 93% |
| Kaiser Foundation | $8 - $174 | 93% |
| La Care Healthy Families/Healthy Kids | $8 | 93% |
| Medicare (plans) | $8 - $9 | 93% |
| New Horizon Medical Group Inc | $8 - $149 | 93% |
| Non Contracted Medi-Cal | $8 | 93% |
| Pacificare Of California | $8 | 93% |
| Prospect Health Plan | $8 - $14 | 93% |
| Scan Health Plan | $8 | 93% |
| Synermed | $8 - $9 | 93% |
| Universal Care | $8 - $174 | 93% |
| Asi/Flex | $9 - $174 | 104% |
| Care First Health Plan | $9 | 104% |
| Caremore | $9 | 104% |
| Community Care Network | $9 - $186 | 104% |
| County Of Los Angeles Dept Of Health Services | $9 | 104% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $9 | 104% |
| Coventry Health Care | $9 - $186 | 104% |
| Coventry Health Care National Network | $9 - $186 | 104% |
| Fmc Los Angeles County | $9 - $186 | 104% |
| Healthnet | $9 - $172 | 104% |
| Hollywood Presbyterian Adv Med Mcal | $9 | 104% |
| Hollywood Presbyterian Medpoint Mcal | $9 | 104% |
| Interplan Corporation | $9 - $186 | 104% |
| La Care Covered Direct | $9 | 104% |
| Managed Care Administrators | $9 - $186 | 104% |
| Medi Caid/ Medi Cal | $9 | 104% |
| Molina Healthcare Of California | $9 | 104% |
| Pacific Alliance Medical Center | $9 | 104% |
| Private Pay | $9 | 104% |
| Prohealth | $9 - $186 | 104% |
| San Miguel Health Plan | $9 | 104% |
| Self-Pay | $9 | 104% |
| Us Comp Care | $9 - $174 | 104% |
| Value Healthplan Of California | $9 - $174 | 104% |
| Applecare Medical Group | $10 | 116% |
| Athens Administrators Ahmc Work Comp | $10 | 116% |
| Chinatown Service Center Pace | $10 | 116% |
| Cigna | $10 | 116% |
| Interplan Health Group | $10 | 116% |
| Misc 1 | $10 | 116% |
| Multiplan Wc | $10 | 116% |
| Tricare | $10 | 116% |
| Ahmc Health | $11 | 128% |
| Knox-Keene Act | $11 | 128% |
| Monarch Healthplan | $11 | 128% |
| Multiplan | $11 - $211 | 128% |
| Commercial Non Contract | $12 - $248 | 139% |
| Medi-Cal Sub Acute | $12 - $248 | 139% |
| One Legacy | $12 - $248 | 139% |
| Great-West Healthcare Of California | $2,500 | 29002% |