Culture, bacterial
Facility: Greater El Monte Community Hospital
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $18
- Cash Discount Price: $70
- vs. Medicare Baseline: 2.09x 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 209% of the Medicare baseline (a markup of 109%). 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 |
|---|---|---|
| Care 1St Medi Cal Hmo Cap Exceptional Care | $1 - $30 | 12% |
| Care First Health Plan | $1 - $30 | 12% |
| Clinica Medica Familiar | $1 - $150 | 12% |
| Alta Med Health Services Med Grp | $2 - $75 | 23% |
| Bella Vista Medical Group Ipa | $2 - $135 | 23% |
| Employee Health Systems Medical Group | $2 - $60 | 23% |
| Global Care Medical Group Ipa | $2 - $135 | 23% |
| Ahmc Reciprocity Agreement | $3 - $90 | 35% |
| Ahmc Reciprocity Agreement Senior/Commercial | $3 - $90 | 35% |
| Allied Physicians Medical Group | $3 - $90 | 35% |
| Blue Cross Blue Shield | $3 - $150 | 35% |
| Good Samaritan Medical Practice Assoc | $3 - $181 | 35% |
| Lincoln Hospital Medical Center | $3 - $90 | 35% |
| Molina Healthcare Of California | $3 - $117 | 35% |
| Blue Shield Of California | $4 - $150 | 46% |
| California Thoroughbred Horesmans Foundation | $4 - $150 | 46% |
| Universal Care | $4 - $211 | 46% |
| Care 1St Health Plan | $5 - $181 | 58% |
| Health Net Foundation | $5 - $196 | 58% |
| La Care Health Plan | $5 - $166 | 58% |
| Central Health Plan | $6 - $211 | 70% |
| Cost Containment Strategies | $6 - $196 | 70% |
| Health Net Inc | $6 - $213 | 70% |
| In Custody Police Dept | $6 - $196 | 70% |
| Interplan | $6 - $226 | 70% |
| UnitedHealthcare | $6 - $258 | 70% |
| Veterans Administration | $6 | 70% |
| Community Care Network | $7 - $241 | 81% |
| Multiplan | $7 - $256 | 81% |
| Ahmc Healthcare Inc | $8 | 93% |
| Aids Health Foundation | $8 | 93% |
| Alignment Health Plan | $8 | 93% |
| Allied Physicians | $8 - $13 | 93% |
| Altamed Health Network | $8 | 93% |
| Apa/Aco Inc | $8 | 93% |
| Avanti | $8 - $10 | 93% |
| Beverly Hospital | $8 - $9 | 93% |
| Brand New Day | $8 - $11 | 93% |
| Cms | $8 | 93% |
| Easy Choice Health Plan | $8 | 93% |
| Emanate Health | $8 - $11 | 93% |
| Health Payors Organization | $8 - $271 | 93% |
| Healthy Way La | $8 | 93% |
| Other Non Contracted Medi-Cal Hmo | $8 | 93% |
| Other Non Contracted Senior Hmo | $8 | 93% |
| Pacific Alliance Medical Center Reciprocal Contract | $8 | 93% |
| Pacificare Of California | $8 - $261 | 93% |
| Scan Health Plan | $8 | 93% |
| State Of California | $8 | 93% |
| Ahmc Health Self-Insurance Epo | $9 - $11 | 104% |
| Associated Hispanic Physicians | $9 - $10 | 104% |
| Athens Administrators | $9 - $10 | 104% |
| Caloptima | $9 - $11 | 104% |
| Champus Foundation | $9 - $10 | 104% |
| Commercial Non Contract | $9 - $301 | 104% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $9 | 104% |
| Hollywood Presbyterian Adv Med Mcal | $9 - $10 | 104% |
| Hollywood Presbyterian Medpoint Mcal | $9 - $10 | 104% |
| Inter Valley Health Plan | $9 | 104% |
| Intercomp | $9 | 104% |
| Knox-Keene Act | $9 - $11 | 104% |
| La Care Covered Direct | $9 | 104% |
| Medi-Cal Sub Acute | $9 - $301 | 104% |
| Molina Healthcare | $9 | 104% |
| Nuclear Medicine/Whmc | $9 - $301 | 104% |
| One Legacy | $9 - $301 | 104% |
| Other Non Contracted Work Comp | $9 - $10 | 104% |
| Preferred Health Network | $9 - $10 | 104% |
| San Miguel Health Plan | $9 | 104% |
| Self-Pay | $9 | 104% |
| Chinatown Service Center Pace | $10 | 116% |
| Cigna | $10 | 116% |
| In Custody-Ca Highway Patrol | $20 | 232% |