CMS Price Transparency Data
Culture, bacterial
Facility: Coastal Communities Hospital
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $15
- Cash Discount Price: $43
- vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Coastal Communities Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.74x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$43
Average discount available for prompt cash payment at this facility.
Insurance Median
$15
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: $43 (499%)
Insurance Median: $15 (174%)
Cash: $43 (499% of Medicare)
Ins. Median: $15 (174% 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
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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 |
|---|---|---|
| Ihhi Reciprocity | $2 - $32 | 23% |
| First Health | $4 - $57 | 46% |
| Heritage Provider Network | $4 - $65 | 46% |
| Kaiser | $4 - $67 | 46% |
| Magellan | $4 - $65 | 46% |
| Cigna | $5 - $70 | 58% |
| Health Net | $5 - $79 | 58% |
| Healthsmart | $5 - $81 | 58% |
| Interplan | $5 - $81 | 58% |
| Multiplan | $5 - $76 | 58% |
| Networks By Design | $5 - $76 | 58% |
| Networks By Design Wc | $5 - $76 | 58% |
| Prime Health | $5 - $81 | 58% |
| Pnoa-Provider Network Of America | $6 - $86 | 70% |
| Prime Health Srvs | $6 - $86 | 70% |
| Prime Health Srvs/Network | $6 - $92 | 70% |
| Prime Health Srvs/Wc | $6 - $9 | 70% |
| Aetna | $7 - $28 | 81% |
| Altamed Health Services | $7 - $12 | 81% |
| Altamed Mcal Hmo (Ancillary) | $7 - $9 | 81% |
| Blue Shield | $7 - $33 | 81% |
| Caloptima | $7 - $12 | 81% |
| Central Health Plan Of California | $7 - $9 | 81% |
| Champion Health Plan | $7 - $9 | 81% |
| Champus | $7 - $9 | 81% |
| Choc Health Alliance | $7 - $12 | 81% |
| Choice Physicians Network | $7 - $9 | 81% |
| Citizens Choice Health Plan | $7 - $9 | 81% |
| Clever Care Health Plan | $7 - $9 | 81% |
| County Of Orange | $7 - $12 | 81% |
| Coventry Auto Network | $7 - $9 | 81% |
| Coventry Wc | $7 - $10 | 81% |
| Easy Choice Health Plan | $7 - $9 | 81% |
| Family Choice | $7 - $12 | 81% |
| For Your Benefit | $7 - $9 | 81% |
| Healthcare Partners | $7 - $9 | 81% |
| Healthcare Partners Sr Hmo | $7 - $9 | 81% |
| Heritage | $7 - $9 | 81% |
| Hollywood Presbyterian | $7 - $9 | 81% |
| Humana | $7 - $9 | 81% |
| Imperial Health Plan Of Ca | $7 - $9 | 81% |
| Innovative Integrated Health | $7 - $9 | 81% |
| Kpc Healthcare Inc | $7 - $12 | 81% |
| Lucet Behavioral Health Sr | $7 - $108 | 81% |
| Managed Health Network | $7 - $108 | 81% |
| Medcare Partners | $7 - $9 | 81% |
| Medi-Cal Hmo/Non Contract | $7 - $9 | 81% |
| Medicaid / KanCare | $7 - $9 | 81% |
| Monarch | $7 - $9 | 81% |
| Onecare | $7 - $9 | 81% |
| Onecare Connect | $7 - $9 | 81% |
| Other Insurance Loa | $7 - $108 | 81% |
| Other Non Contracted Plans | $7 - $108 | 81% |
| Other Senior Non Contract | $7 - $9 | 81% |
| Private Pay | $7 - $108 | 81% |
| Prospect Health Plan | $7 - $13 | 81% |
| Scan Health Plan | $7 - $9 | 81% |
| Self Pay Ab774/Cbo Use Only | $7 - $9 | 81% |
| Three Rivers | $7 - $10 | 81% |
| UnitedHealthcare | $7 - $9 | 81% |
| Us Behavioral Health Plan | $7 - $108 | 81% |
| Us Dept Of Labor | $7 - $9 | 81% |
| Us Federal Marshall/Department Of Immigration | $7 - $9 | 81% |
| Velocity National Provider Network Wc | $7 - $10 | 81% |
| Velocity Provider Network Sr | $7 - $9 | 81% |
| Verda Health Plan Sr | $7 - $9 | 81% |
| Veterans Administration | $7 - $9 | 81% |
| Victim Of Violent Crime | $7 - $9 | 81% |
| Victoria Hospice | $7 - $9 | 81% |
| Vitas Hospice | $7 - $108 | 81% |
| Workers Comp State Of California | $7 - $10 | 81% |
| Brand New Day | $8 - $10 | 93% |
| County Of Orange/Custody/Advanced Medmgt | $9 - $11 | 104% |
| Veterans Evaluation Services | $9 - $11 | 104% |
| Monarch Health Plan | $10 | 116% |
| Staywell/Island Home Ins | $10 - $12 | 116% |
| Three Rivers Network | $12 - $15 | 139% |
| Velocity National Provider Network Ppo | $12 - $15 | 139% |