CMS Price Transparency Data

Culture, bacterial

Facility: North Okaloosa Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $10
  • Cash Discount Price: $91
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at North Okaloosa Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.16x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$91

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $91 (1056%)
Insurance Median: $10 (116%)
Cash: $91 (1056% of Medicare)
Ins. Median: $10 (116% 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 $4 46%
Humana $4 - $9 46%
Integral Health $4 46%
Medicaid / KanCare $4 46%
Simply Healthcare $4 - $9 46%
UnitedHealthcare $4 - $80 46%
Wellcare $4 - $9 46%
Magellan Health $5 58%
Prestige Health $5 58%
Aetna $8 - $303 93%
Blue Cross Blue Shield $8 - $404 93%
Cigna $8 - $315 93%
Medicare (plans) $8 93%
Node Champva $8 93%
Tricare $8 93%
Florida Department Of Corrections $9 104%
Node Non Par Hospice Agree $9 104%
Node Va $9 104%
Veterans Eval Services $9 104%
Amcomp Workers Comp $10 116%
Evolutions $10 - $355 116%
Prime Health Work Comp Fl $10 116%
Usa Managed Care Work Comp Fl $10 116%
Node Us Dept Of Labor $11 128%
Oscar $12 139%
State Auto Insurance Fl $17 197%
Occunet $22 255%
Self Pay $73 - $109 847%
Corizon Health Inc $137 1589%
Phcs $364 4223%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals