CMS Price Transparency Data

Culture, bacterial

Facility: HCA Florida Jfk Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $133
  • Cash Discount Price: $450
  • vs. Medicare Baseline: 15.43x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at HCA Florida Jfk Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $450. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 15.43x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$450

Average discount available for prompt cash payment at this facility.

Insurance Median
$133

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: $450 (5220%)
Insurance Median: $133 (1543%)
Cash: $450 (5220% of Medicare)
Ins. Median: $133 (1543% 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 1543% of the Medicare baseline (a markup of 1443%). 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
Freedom Health $6 - $184 70%
Optimum $6 - $99 70%
Palm Beach Pace $8 93%
Aetna $9 - $346 104%
Align $9 104%
American Health Plan $9 104%
Avmed $9 - $576 104%
Blue Cross Blue Shield $9 104%
Careplus Sfl $9 104%
Centurion $9 104%
Cigna $9 104%
Devoted Health $9 104%
Doctors Healthcare Plan $9 104%
Florida Complete Care $9 104%
Humana $9 - $392 104%
Ndms Definitive Care $9 104%
Oscar $9 - $12 104%
Prominence Healthfirst $9 104%
Simply Healthcare Plans $9 - $150 104%
Sunshine State $9 104%
United $9 - $519 104%
United Behavioral Health $9 104%
Veterans Evaluation Services $9 104%
Wellmed $9 104%
Amerihealth Caritas $10 - $13 116%
Gold Kidney $10 116%
Longevity Health Plan $10 116%
Molina $11 - $311 128%
Simply Healthcare $11 128%
Solis Health Plan $12 139%
Health Sun Health Plan $14 - $246 162%
Aids Healthcare $15 - $1,384 174%
Mmm Of Fl (Health Advantage Plan) $15 - $265 174%
United Ppo $16 - $273 186%
Sunshine State Health Plan $17 - $300 197%
Blis $23 - $404 267%
District Cares $33 - $576 383%
Plotkin Health $33 - $576 383%
Prime Health Sherriff $33 - $576 383%
Medica Healthcare $39 - $680 452%
Multiplan $50 - $980 580%
Evernorth Bh $53 - $922 615%
Corvel Corporation $238 2761%
Careworks (Rockport) $243 2819%
Prime Health $243 2819%
Healthy Palm Beaches $550 6381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals