CMS Price Transparency Data

Culture, bacterial

Facility: University of Miami Hospital and Clinics

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $53
Cash Discount Price: $33
vs. Medicare Baseline: 6.15x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at University of Miami Hospital and Clinics is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 6.15x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $33 (383%)

Insurance Median: $53 (615%)

Cash: $33 (383% of Medicare)

Ins. Median: $53 (615% 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 615% of the Medicare baseline (a markup of 515%). 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
Careplus	$7 - $74	81%
Sunshine Health	$7 - $74	81%
Amerihealth Caritas Fl	$8 - $83	93%
Blue Cross Blue Shield	$8 - $370	93%
Molina Healthcare Of Fl	$8 - $80	93%
Oscar Health Of Fl	$8 - $83	93%
Aetna	$9 - $163	104%
Solis Health	$9	104%
UnitedHealthcare	$9 - $37	104%
Cigna	$10 - $129	116%
Humana	$10	116%
Curative	$15 - $157	174%
Avmed	$16 - $193	186%
Employers Health Network	$17 - $178	197%
Simply Healthcare	$17 - $178	197%
First Health	$18 - $193	209%
Health First New York Health Insurance	$18 - $193	209%
Broward Health	$20 - $208	232%
Beech Street	$22 - $238	255%
Dimension Health	$22 - $238	255%
Multiplan	$22 - $238	255%

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 $33.
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 University of Miami Hospital and Clinics 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.