CMS Price Transparency Data

Culture, bacterial

Facility: Parrish Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $106
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 12.30x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Parrish Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 12.30x the Medicare baseline. Located in 951 N Washington Ave, Titusville, FL.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $72 (835%)
Insurance Median: $106 (1230%)
Cash: $72 (835% of Medicare)
Ins. Median: $106 (1230% 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 1230% of the Medicare baseline (a markup of 1130%). 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
Florida Health Care Plan $2 - $35 23%
Webtpa $2 - $37 23%
Careplus Health Plans Inc. $3 - $64 35%
Aetna $4 - $185 46%
Blue Cross Blue Shield $4 - $360 46%
Florida Health Care Plan Commercial $4 - $280 46%
Freedom Health $4 - $8 46%
Healthease/Staywell Of Florida Inc $4 46%
Humana $4 - $232 46%
Medicaid / KanCare $4 - $6 46%
Molina Healthcare Of Florida $4 46%
Sunshine State Health Plan $4 46%
Health First Health Plans $5 - $463 58%
Florida Mhs Inc $6 70%
Simply Healthcare Plans $6 70%
Veterans $6 70%
UnitedHealthcare $7 - $9 81%
Medicare (plans) $8 93%
Tricare $8 93%
Cigna $9 - $324 104%
Pmc Hpi Employee Plan $9 - $176 104%
Pmc Preferred Benefit Administrators $9 - $176 104%
Brevard County Commissioners $12 - $222 139%
Brevard School Board $12 - $222 139%
Auto $17 197%
Coventry Healthcare $22 - $417 255%
Coventry Helthcare Inc $22 - $417 255%
First Health Group Corp $22 - $417 255%
Beech Street Corporation $23 - $440 267%
Multiplan Inc $23 - $440 267%
Private Healthcare Systems Inc $23 - $440 267%
Early Steps $24 - $463 278%
No Contract $24 - $463 278%
Self Pay $24 - $463 278%
Corvel Healthcare Corporation $248 2877%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 951 N Washington Ave, Titusville, FL 32796
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals