CMS Price Transparency Data

Culture, bacterial

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Baptist Health Medical Center - Jacksonville is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 0.58x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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%)
Insurance Median: $5 (58%)
Ins. Median: $5 (58% 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
Amerigroup Of Georgia $4 46%
Caresource Of Georgia $4 46%
Daniel Memorial $4 46%
Humana $4 - $5 46%
Peach State Health Plan $4 46%
Simply Healthcare Plans $4 - $5 46%
Simply Healthcare Plans - Cha $4 46%
Aetna $5 - $9 58%
Amerihealth Caritas $5 58%
Florida Community Care $5 - $9 58%
Molina Healthcare Of Florida $5 58%
Sunshine State Health Plan $5 58%
United Community Plan $5 58%
Vivida Health $5 58%
Community Hospice Of Northeast Florida $9 104%
Devoted $9 104%
Pace $9 104%
Tomorrow'S Rainbow $9 104%
UnitedHealthcare $9 104%
Upmc $9 104%
Va Ccn $9 104%
Corvel $10 116%
Coventry Workers Comp $10 116%
Non-Contracted $10 116%
Ambetter / Centene $21 244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals