CMS Price Transparency Data
Culture, bacterial
Facility: Holy Cross Hospital
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $8
- Cash Discount Price: $143
- vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Holy Cross Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 0.93x the Medicare baseline. Located in 4725 N Federal Hwy, Ft Lauderdale, FL.
Cash / Self-Pay
$143
Average discount available for prompt cash payment at this facility.
Insurance Median
$8
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: $143 (1659%)
Insurance Median: $8 (93%)
Cash: $143 (1659% of Medicare)
Ins. Median: $8 (93% 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.
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 |
|---|---|---|
| Avmed Health Plan | $2 - $116 | 23% |
| Geha | $3 - $11 | 35% |
| Medicaid / KanCare | $3 - $464 | 35% |
| UnitedHealthcare | $3 - $11 | 35% |
| Cigna | $4 - $218 | 46% |
| First Health | $4 - $272 | 46% |
| Aetna | $5 - $233 | 58% |
| Albany County Correctional Facility | $5 | 58% |
| Ambetter / Centene | $5 - $15 | 58% |
| Amish Mennonite | $5 | 58% |
| Ascension St. Vincent Public Safety Medical | $5 | 58% |
| Bcccp-Michigan | $5 | 58% |
| Bccp | $5 | 58% |
| Blue Cross Blue Shield | $5 - $216 | 58% |
| Bmc Healthnet | $5 | 58% |
| Breast Grant-Connecticut | $5 | 58% |
| Bridge Health | $5 - $232 | 58% |
| Broward County Dept Of Health | $5 | 58% |
| California Health And Wellness | $5 | 58% |
| Cardinal Innovations Lme | $5 | 58% |
| Care Connections Of Northern Iowa | $5 | 58% |
| Care Oregon Ohp | $5 | 58% |
| Cencal Health Plan | $5 | 58% |
| Cenpatico | $5 | 58% |
| Chhuny | $5 | 58% |
| Childrens Comm Health Plan | $5 | 58% |
| Childrens Medical Services Title 19 | $5 | 58% |
| City Of Philadelphia | $5 | 58% |
| Cmh Allegan County | $5 | 58% |
| Cmh Ausable Valley | $5 | 58% |
| Cmh Barry County | $5 | 58% |
| Cmh Bay-Arenac County | $5 | 58% |
| Cmh Berrien County | $5 | 58% |
| Cmh Cass County | $5 | 58% |
| Cmh Central Mi County | $5 | 58% |
| Cmh Clinton-Eaton-Ingham County | $5 | 58% |
| Cmh Detroit Wayne Integrated Health Network | $5 | 58% |
| Cmh Genesee County | $5 | 58% |
| Cmh Ionia County | $5 | 58% |
| Cmh Jackson County/Lifeways | $5 | 58% |
| Cmh Kalamazoo | $5 | 58% |
| Cmh Kent County | $5 | 58% |
| Cmh Lenawee County | $5 | 58% |
| Cmh Livingston County | $5 | 58% |
| Cmh Macomb | $5 | 58% |
| Cmh Misc | $5 | 58% |
| Cmh Monroe County | $5 | 58% |
| Cmh Montcalm County | $5 | 58% |
| Cmh Muskegon County | $5 | 58% |
| Cmh Newaygo County | $5 | 58% |
| Cmh North Country | $5 | 58% |
| Cmh Northern Lakes County | $5 | 58% |
| Cmh Oakland County | $5 | 58% |
| Cmh Ottawa County | $5 | 58% |
| Cmh Van Buren County | $5 | 58% |
| Cmh Washtenaw County | $5 | 58% |
| Cmh Wayne County/Carelink | $5 | 58% |
| Cmh Wayne Cty/Com Liv Svcs | $5 | 58% |
| Cmh West Mi County | $5 | 58% |
| Community Benefit Health | $5 | 58% |
| Community Care Behavorial Health | $5 | 58% |
| Community Care Partners | $5 | 58% |
| Community Care Plan | $5 - $464 | 58% |
| Community Health Choice | $5 | 58% |
| Connections Csp | $5 | 58% |
| County Coroner | $5 | 58% |
| County Funding Generic | $5 | 58% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $5 | 58% |
| Dean Wi Badgercare | $5 | 58% |
| Delaware County Department Of Health | $5 | 58% |
| Delaware First Health | $5 | 58% |
| Delta Dental Nj | $5 | 58% |
| Dph Tb Program | $5 | 58% |
| Dscc | $5 | 58% |
| Eastpointe Lme | $5 | 58% |
| Family Health Network | $5 | 58% |
| Freedom First Healthcare | $5 | 58% |
| Fresno County Ccs | $5 | 58% |
| Ghc Scw Wi Badgercare | $5 | 58% |
| Harbor Health | $5 | 58% |
| Health Safety Net | $5 | 58% |
| Healthy Blue Ne | $5 | 58% |
| Hennepin Health | $5 | 58% |
| Humana | $5 - $464 | 58% |
| Id County Ada | $5 | 58% |
| Id County Canyon | $5 | 58% |
| Id County Cat Fund | $5 | 58% |
| Id County Other | $5 | 58% |
| Id County Payette | $5 | 58% |
| Idaho Dept Health And Wellfare | $5 | 58% |
| Idaho Womens Health Check | $5 | 58% |
| Indiana Breast Cervical Cancer | $5 | 58% |
| Inland Empire Health Plan | $5 | 58% |
| Intercommunity Health Ohp | $5 | 58% |
| Iowa Total Care | $5 | 58% |
| Jai Medical System | $5 | 58% |
| Kern Family Health Plan | $5 | 58% |
| Keystone First | $5 | 58% |
| Keystone First Chip | $5 | 58% |
| La Care Health Plan | $5 | 58% |
| Lakeland Care Inc | $5 | 58% |
| Managed Health Services - Indiana | $5 | 58% |
| Maryland Breast & Cervical Program | $5 | 58% |
| Maryland Healthy Smiles - Scion Dental | $5 | 58% |
| Maryland Physicians Care | $5 | 58% |
| Massachusetts Behavioral Health Partnership | $5 | 58% |
| Mdwise | $5 | 58% |
| Medi-Cal | $5 | 58% |
| Medi-Cal Healthnet | $5 | 58% |
| Medstar Dc Healthy Family | $5 | 58% |
| Medstar Md Health Choice | $5 | 58% |
| Memorial Integrated Health | $5 - $250 | 58% |
| Mo Home State Health Plan | $5 | 58% |
| Molina Centennial Care | $5 | 58% |
| Mvp | $5 - $218 | 58% |
| Nascentia Health Options | $5 | 58% |
| Nebraska Total Care | $5 | 58% |
| New York Cancer Services Program | $5 | 58% |
| Nextlevel Health | $5 | 58% |
| Oregon Screenwise | $5 | 58% |
| Pace Of Southwest Michigan | $5 - $8 | 58% |
| Paramount Advantage | $5 | 58% |
| Parkland Community Health Plan | $5 | 58% |
| Partners Behavioral Lme | $5 | 58% |
| Peach State Healthplan | $5 | 58% |
| Philadelphia County Funding | $5 | 58% |
| Presbyterian Centennial Care | $5 | 58% |
| Prestige Health Choice | $5 | 58% |
| Priority Partners | $5 | 58% |
| Robert F Sing Program | $5 | 58% |
| Rx 340B Pass Along | $5 | 58% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $5 | 58% |
| Rx Medi-Cal | $5 | 58% |
| Rx Meridian Rx | $5 | 58% |
| Ryan White Florida Mssrp | $5 - $8 | 58% |
| Sandhills Center Lme | $5 | 58% |
| Screening For Life | $5 | 58% |
| St Joseph County Hlth Dpt | $5 | 58% |
| Stephenson Cty Health | $5 | 58% |
| Sunshine State Health Plan | $5 - $464 | 58% |
| Superior Health | $5 | 58% |
| Tenncare | $5 | 58% |
| Texas Children'S Health Plan | $5 | 58% |
| Trillium Community Ohp | $5 | 58% |
| Tufts Health Public Plans | $5 | 58% |
| Upmc Health Plan | $5 - $218 | 58% |
| Vaya Health Lme | $5 | 58% |
| Washtenaw Health Plan | $5 | 58% |
| Wellsense Health Plan | $5 | 58% |
| Wi Womens Wellness | $5 | 58% |
| Allianz Global Assistance | $6 - $278 | 70% |
| Axa Assistance Us | $6 - $278 | 70% |
| Axis Services | $6 - $278 | 70% |
| Cmn Global | $6 - $278 | 70% |
| Connecticare | $6 - $272 | 70% |
| Desjardins Financial Security Life Assurance | $6 - $278 | 70% |
| Emblem Health | $6 - $272 | 70% |
| Global Benefits Group | $6 - $278 | 70% |
| Global Health Claim Services | $6 - $278 | 70% |
| Global Medical Management | $6 - $278 | 70% |
| Guardian | $6 - $278 | 70% |
| International Generic | $6 - $302 | 70% |
| Morgan White Administrators | $6 - $278 | 70% |
| National Healthcare Solutions | $6 - $278 | 70% |
| Olympus Managed Health Care | $6 - $278 | 70% |
| Penfield Care | $6 - $278 | 70% |
| Quality Health Management | $6 - $278 | 70% |
| Sanus Healthcare | $6 - $278 | 70% |
| Sunmed International | $6 - $288 | 70% |
| Ww Concierge Healthcare Service | $6 - $278 | 70% |
| Bcn Domestic | $7 - $183 | 81% |
| Blue Benefit Administrators Of Massachusetts | $7 - $183 | 81% |
| Blue Care Network | $7 - $183 | 81% |
| Blue Distinction Transplant | $7 - $183 | 81% |
| Blue Shield - Ca | $7 - $183 | 81% |
| Blue Shield - Id (Regence) | $7 - $183 | 81% |
| Blue Shield - Ny Highmark Northeastern | $7 - $183 | 81% |
| Blue Shield - Ny Highmark Western | $7 - $183 | 81% |
| Blue Shield - Pa (Highmark) | $7 - $183 | 81% |
| Blue Shield - Wa (Regence) | $7 - $183 | 81% |
| Health Choices | $7 - $183 | 81% |
| Kaiser Domestic | $7 - $183 | 81% |
| Phcs | $7 - $325 | 81% |
| Pre-Employment | $7 - $183 | 81% |
| Unicare | $7 - $325 | 81% |
| Wc Domestic | $7 - $183 | 81% |
| Align Senior Care | $8 | 93% |
| Ally Align Care Adv | $8 | 93% |
| American Health Advantage Of Idaho | $8 | 93% |
| American Health Plan | $8 | 93% |
| Aurora Special Needs | $8 | 93% |
| Blue Care Network Advantage | $8 | 93% |
| Blue Shield - De (Highmark) Medciare Advantage | $8 | 93% |
| Care Dimensions | $8 | 93% |
| Care Improvement Plus | $8 | 93% |
| Care Resources Pace | $8 | 93% |
| Careplus Health Plans | $8 - $9 | 93% |
| Cca - Zing Health | $8 | 93% |
| Cca Senior Care Options | $8 | 93% |
| Central Valley Medical Services Corp Pace | $8 | 93% |
| Champion Health Plan Mcr Advantage | $8 | 93% |
| Champva | $8 | 93% |
| Clear Spring Health | $8 | 93% |
| Clover Health | $8 | 93% |
| Commonwealth Care Alliance | $8 | 93% |
| Community Pace At Home | $8 | 93% |
| Eddy Senior Care-Pace | $8 | 93% |
| Eddy Seniorcare Pace | $8 | 93% |
| Elementcare | $8 | 93% |
| Evercare | $8 | 93% |
| Everence | $8 | 93% |
| Gateway Health Plan | $8 | 93% |
| Genesys Pace Of Genesee County | $8 | 93% |
| Georgia Health Advantage | $8 | 93% |
| Gold Advantage | $8 | 93% |
| Gpa Croell Redi Mix | $8 | 93% |
| Health America Advantra | $8 | 93% |
| Highmark Health Options Dual Plan | $8 | 93% |
| Hope Select Pace | $8 | 93% |
| Horizon Nj Total Care | $8 | 93% |
| Hudson Headwaters Pace | $8 | 93% |
| Huron Valley Pace | $8 | 93% |
| Innovative Integrated Health Community Plans | $8 | 93% |
| Iowa Health Advantage | $8 | 93% |
| Johns Hopkins Advantage Md | $8 | 93% |
| Lasso Healthcare Msa | $8 | 93% |
| Life St Marys Pace | $8 | 93% |
| Lifecircles Pace | $8 | 93% |
| Longevity Health Plan | $8 | 93% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $8 | 93% |
| Martins Point Generations Advantage | $8 | 93% |
| Mass General Brigham Mcr Adv | $8 | 93% |
| Medicare (plans) | $8 - $9 | 93% |
| Medipak Advantage | $8 | 93% |
| Mercy Life | $8 | 93% |
| Mercyone Cedar Valley | $8 | 93% |
| Meridian Complete | $8 | 93% |
| Michigan Complete Health | $8 | 93% |
| Nascentia Health Plus | $8 | 93% |
| Osu Prime Care Advantage | $8 | 93% |
| Pace Cny | $8 | 93% |
| Pace Iowa Immanuel Pathways | $8 | 93% |
| Pace Southeast | $8 | 93% |
| Pace-Trinity Health | $8 | 93% |
| Peak Pace Solutions | $8 | 93% |
| Perennial Advantage | $8 | 93% |
| Preferred Care Partners | $8 | 93% |
| Presbyterian Senior Plan | $8 | 93% |
| Provider Partners Health Plan Of Illinois | $8 | 93% |
| Provider Partners Health Plan Of Indiana | $8 | 93% |
| Pruitthealth Premier | $8 | 93% |
| Reliance Community Care Partners Care Resources Pace | $8 | 93% |
| Rx Allwin | $8 | 93% |
| Rx Grane Grnmedd | $8 | 93% |
| Rx Retiree Rx Care | $8 | 93% |
| Scan Health Plan Mcr Ipa Meritage Oon | $8 | 93% |
| Secure Horizons Ma Pffs | $8 | 93% |
| Serenity Pace | $8 | 93% |
| Siouxland Pace | $8 | 93% |
| Sunnyview-Pace Finance Dept | $8 | 93% |
| Texan Plus | $8 | 93% |
| The Health Plan | $8 | 93% |
| Thome Pace | $8 | 93% |
| Todays Options | $8 | 93% |
| Tribute Health Plans | $8 | 93% |
| Tricare | $8 | 93% |
| Triwest Health Alliance | $8 | 93% |
| Trustbridge | $8 | 93% |
| Um Health Advantage | $8 | 93% |
| Union Health Service | $8 | 93% |
| Us Family Health Plan | $8 | 93% |
| Veterans Eval Services | $8 | 93% |
| Welbe Health | $8 | 93% |
| Wellmed | $8 | 93% |
| Catholic Hospice | $9 | 104% |
| Curative | $9 - $16 | 104% |
| Multiplan | $9 - $408 | 104% |
| New Centry Health Careplus | $9 | 104% |
| Solis Health Plans | $9 | 104% |
| Veterans Administration | $9 | 104% |
| Vitas Healthcare Corp | $9 | 104% |
| General Electric | $10 - $464 | 116% |
| Heartland Hospice | $10 - $464 | 116% |
| Hospice Vitas | $10 - $464 | 116% |
| Molina Marketplace | $10 - $15 | 116% |
| Sunbelt International | $10 - $464 | 116% |
| Wc Broward County | $10 - $52 | 116% |
| Wc Corvel | $10 - $36 | 116% |
| Wc Heritage Summit | $10 - $52 | 116% |
| Oscar | $11 - $15 | 128% |
| Centivo | $12 - $19 | 139% |
| Coventry | $12 - $30 | 139% |
| Meritain | $12 - $30 | 139% |
| Allied Benefit Systems | $30 | 348% |
| Selectcare Worldwide | $42 | 487% |
| Star Healthcare Network | $42 | 487% |
| Auto Liabililty Praxis | $50 | 580% |
| Wc Praxis Health Network | $50 | 580% |