CMS Price Transparency Data

Culture, bacterial

Facility: UF Health Shands Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $13
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at UF Health Shands Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.51x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $31 (360%)
Insurance Median: $13 (151%)
Cash: $31 (360% of Medicare)
Ins. Median: $13 (151% 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
Aetna $5 - $62 58%
Amerihealth Caritas Florida $5 58%
Beacon Health Strategies $5 58%
Community Care Plan $5 58%
Florida Community Care $5 58%
Humana $5 - $9 58%
Molina $5 58%
Sunshine State Health Plan $5 58%
UnitedHealthcare $5 - $9 58%
Simply Healthcare $7 81%
Ahf Mco Of Fl $9 104%
Avmed $9 104%
Blue Cross Blue Shield $9 - $41 104%
Capital Health Plan $9 - $38 104%
Carelon Health $9 104%
Careplus $9 104%
Devoted Health Plan $9 104%
Freedom Health- Inc./Optimum Healthcare- Inc. $9 104%
North Central Hospice $9 104%
Positive Healthcare Partners $9 104%
Vha $9 104%
Wellcare $9 104%
Ghilcrest County $11 128%
Levy County $11 128%
Wellpath $14 162%
Uaa $15 - $29 174%
Ambetter / Centene $16 - $30 186%
Northeast Fl Hospital $17 - $33 197%
Florida Health Care Plan $20 - $38 232%
Health First $27 - $52 313%
Prime Health Services $27 - $52 313%
Archbold Medical Center $29 - $56 336%
Cigna $29 - $56 336%
Genex $29 - $56 336%
Corvel Corp $33 - $64 383%
Geha $35 - $68 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals