CMS Price Transparency Data

Culture, bacterial

Facility: Orthocolorado Hosp at St Anthony Med Campus

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $17
Cash Discount Price: $166
vs. Medicare Baseline: 1.97x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Orthocolorado Hosp at St Anthony Med Campus is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.97x the Medicare baseline. Located in 11650 W 2Nd Pl, Lakewood, CO.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $166 (1926%)

Insurance Median: $17 (197%)

Cash: $166 (1926% of Medicare)

Ins. Median: $17 (197% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$8 - $19	93%
Blue Cross Blue Shield	$8 - $30	93%
Cigna	$8 - $11	93%
Devoted Health	$8	93%
Humana	$8	93%
Innovage	$8	93%
Kaiser	$8 - $114	93%
Medicare (plans)	$8	93%
UnitedHealthcare	$8 - $18	93%
Centura Employee Plan	$11	128%
United Colorado Doctor'S Plan	$13	151%
Direct To Employer	$15 - $166	174%
Denver Health	$98	1137%
Peak Health	$162	1879%
Multiplan	$290 - $353	3364%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $166.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87070.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Orthocolorado Hosp at St Anthony Med Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87070.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.