CMS Price Transparency Data

Culture, bacterial

Facility: Longs Peak Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $42
Cash Discount Price: $107
vs. Medicare Baseline: 4.87x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Longs Peak Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 4.87x the Medicare baseline. Located in 1750 E Ken Pratt Blvd, Longmont, CO.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $107 (1241%)

Insurance Median: $42 (487%)

Cash: $107 (1241% of Medicare)

Ins. Median: $42 (487% 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 487% of the Medicare baseline (a markup of 387%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$7 - $175	81%
Aetna	$9	104%
Cigna	$9 - $31	104%
Cms	$9	104%
Devoted Health	$9	104%
Humana	$9	104%
Kaiser	$9	104%
Select Health	$9 - $22	104%
UnitedHealthcare	$9 - $73	104%
Simplified Benefits Administration	$25 - $196	290%
Denver Health Medical Plan	$35 - $282	406%
Rocky Mountain Health Plan	$36 - $239	418%
First Health	$42 - $277	487%
Multiplan	$42 - $324	487%
Phcs	$49 - $328	568%

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 $107.
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 Longs Peak Hospital 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.