CMS Price Transparency Data

Culture, bacterial

Facility: Aspen Valley Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $187
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 21.69x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Aspen Valley Hospital is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 21.69x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$187

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: $211 (2448%)
Insurance Median: $187 (2169%)
Cash: $211 (2448% of Medicare)
Ins. Median: $187 (2169% 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 2169% of the Medicare baseline (a markup of 2069%). 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
Aetna $101 - $235 1172%
Blue Cross Blue Shield $101 - $217 1172%
Humana $101 - $223 1172%
Medicare (plans) $101 - $127 1172%
Tricare $101 - $235 1172%
UnitedHealthcare $101 - $235 1172%
Veterans Administration [100068] $101 - $127 1172%
Cigna $131 - $235 1520%
Allied Benefit Systems [100015] $178 - $223 2065%
Geha [100039] $178 - $223 2065%
Healthscope [100157] $178 - $223 2065%
Aarp [100007] $187 - $235 2169%
Aig Travel [100255] $187 - $235 2169%
Aig [700029] $187 - $235 2169%
Ameriben [100266] $187 - $235 2169%
American Republic [100018] $187 - $235 2169%
Amtrust North America [700042] $187 - $235 2169%
Axa Travel [100256] $187 - $235 2169%
Bankers Life Casualty [100022] $187 - $235 2169%
Broadspire [700043] $187 - $235 2169%
Bupa Global [100257] $187 - $235 2169%
Ccmsi [700017] $187 - $235 2169%
Champ Va [500001] $187 - $235 2169%
Chp [300053] $187 - $235 2169%
Chubb Services [700054] $187 - $235 2169%
Companion Life Pivot Health [100258] $187 - $235 2169%
Corvel [700058] $187 - $235 2169%
Employee Benefit Management [100033] $187 - $235 2169%
Equitable Life [100160] $187 - $235 2169%
Esis Work Comp [700010] $187 - $235 2169%
Freedom Life Insurance Company [100158] $187 - $235 2169%
Gallagher Bassett Work Comp [700013] $187 - $235 2169%
Generic Commercial [109999] $187 - $235 2169%
Generic Other [509999] $187 - $235 2169%
Generic Travel Insurance [109998] $187 - $235 2169%
Generic Workers' Comp [709999] $187 - $235 2169%
Gerber Life Insurance [100265] $187 - $235 2169%
Global Excel [100259] $187 - $235 2169%
Gmmi [100260] $187 - $235 2169%
Hartford Work Comp [700055] $187 - $235 2169%
Harvard Pilgrim Healthcare [100241] $187 - $235 2169%
Health Net [100261] $187 - $235 2169%
Imagine 360 [100043] $187 - $235 2169%
Kaiser Permanente [100254] $187 - $235 2169%
Liberty Healthshare [100262] $187 - $235 2169%
Liberty Mutual Work Comp [700016] $187 - $235 2169%
Marriott Claim [700056] $187 - $235 2169%
Medi Share [100263] $187 - $235 2169%
Medicaid / KanCare $187 - $235 2169%
Mutual Of Omaha [100074] $187 - $235 2169%
Owcp [700057] $187 - $235 2169%
Physicians Mutual [100075] $187 - $235 2169%
Pinnacol Assurance Wc [700059] $187 - $235 2169%
Relations Insurance Kaiser [800004] $187 - $235 2169%
Sedgwick [700027] $187 - $235 2169%
Sentinel Security Life [100264] $187 - $235 2169%
Skico Ortho Alternative Payer [100163] $187 - $235 2169%
Transamerica [100097] $187 - $235 2169%
Travelers Work Comp [700028] $187 - $235 2169%
Tufts Health Plan [100268] $187 - $235 2169%
United American Insurance [100119] $187 - $235 2169%
Usaa Life Insurance Company [100155] $187 - $235 2169%
Wea [100120] $187 - $235 2169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Castle Creek Rd, Aspen, CO 81611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals