Culture, bacterial
Facility: Saint Mary's Hospital
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $10
- Cash Discount Price: $20
- vs. Medicare Baseline: 1.16x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $8 - $37 | 93% |
| Medicare (plans) | $8 - $9 | 93% |
| Aetna | $8 - $15 | 93% |
| Blue Cross Blue Shield | $8 - $10 | 93% |
| Cca Senior Care Options | $9 | 104% |
| Connecticut Dept of Correction | $9 | 104% |
| Harvard Pilgrim Healthcare | $9 | 104% |
| Geha | $9 | 104% |
| Cigna | $9 - $30 | 104% |
| Blue Benefit Administrators of Massachusetts | $10 | 116% |
| Wellpoint | $10 | 116% |
| Health Choices | $10 | 116% |
| Bcn Domestic | $10 | 116% |
| Blue Shield - PA (Highmark) | $10 | 116% |
| Kaiser Domestic | $10 | 116% |
| Pre-Employment | $10 | 116% |
| Blue Shield - Ny Highmark Northeastern | $10 | 116% |
| Blue Care Network | $10 | 116% |
| Unicare | $10 | 116% |
| Connecticare | $10 | 116% |
| Blue Distinction Transplant | $10 | 116% |
| Blue Shield - Ny Highmark Western | $10 | 116% |
| Blue Shield - Id (Regence) | $10 | 116% |
| Blue Shield - Ca | $10 | 116% |
| Wc Domestic | $10 | 116% |
| Blue Shield - Wa (Regence) | $10 | 116% |
| Centivo | $11 | 128% |
| Meritain | $15 | 174% |
| Allied Benefit Systems | $15 | 174% |
| Webtpa | $15 | 174% |
| Gravie Admin Services | $15 | 174% |
| Luminare Health | $15 | 174% |
| Nippon Life Ins | $15 | 174% |
| 1199 National Benefit Fund | $15 | 174% |
| Hap | $15 | 174% |
| Allegiance | $18 | 209% |
| Claimdoc | $18 | 209% |
| Carelon Behavioral Health | $18 | 209% |
| Innovative Health Plan II | $18 | 209% |
| Diversified Administrators | $18 | 209% |
| Magnacare | $18 | 209% |
| Health Partners | $18 | 209% |
| Health New England | $20 | 232% |
| Manhattan Life | $28 | 325% |
| International Benefit Administrators | $28 | 325% |
| PHCS | $28 | 325% |
| Paramount HMO | $28 | 325% |
| Lifetime Benefit Solutions | $28 | 325% |
| Allied National Global Care | $28 | 325% |
| Family Life Insurance Company | $28 | 325% |
| Fallon Health | $28 | 325% |
| Pai | $28 | 325% |
| Pan-American Life | $28 | 325% |
| Multiplan | $28 | 325% |
| Medi Share | $28 | 325% |
| Mvp | $28 | 325% |
| Christian Care Ministry | $28 | 325% |
| Trinity Health Share | $28 | 325% |
| Asrm - Reliance Standard Life Insurance | $28 | 325% |
| Dean Health | $28 | 325% |
| Ghc Scw | $28 | 325% |
| Prime Health Services | $30 | 348% |
| Health Smart | $31 | 360% |
| United Behavioral Health Eap | $37 | 429% |