CMS Price Transparency Data

Culture, bacterial

Facility: HCA Healthone Rose

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $387
  • Cash Discount Price: $907
  • vs. Medicare Baseline: 44.90x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at HCA Healthone Rose is $387. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $907. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 44.90x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.
Cash / Self-Pay
$907

Average discount available for prompt cash payment at this facility.

Insurance Median
$387

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: $907 (10522%)
Insurance Median: $387 (4490%)
Cash: $907 (10522% of Medicare)
Ins. Median: $387 (4490% 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 4490% of the Medicare baseline (a markup of 4390%). 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.

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
Cigna $4 - $612 46%
Aetna $9 - $505 104%
Blue Cross Blue Shield $9 - $707 104%
Bright Health $9 - $287 104%
Delaware Life Insurance $9 104%
Devoted Health $9 104%
Humana $9 104%
Innovage Pace $9 104%
Kaiser $9 - $249 104%
Mutual Of Omaha $9 104%
Rocky Mountain Health $9 104%
Rocky Mountain Health Plan $9 104%
Total Longterm Care $9 104%
Triwest Health Alliance $9 104%
United $9 - $430 104%
Wellcare $9 104%
Vail Health $131 - $145 1520%
Colorado Program For Children With Special Needs $387 - $430 4490%
Western Plains Community Health $560 - $621 6497%
Multiplan $603 - $860 6995%
Northcare $603 - $669 6995%
Physician Health Partners $603 - $669 6995%
Pinnacol Workers Comp $646 - $717 7494%
Medical Development International $689 - $765 7993%
Rocky Mtn Planned Parenthood $732 - $813 8492%
Prime Health $775 - $860 8991%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4567 E 9Th Ave, Denver, CO 80220
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals