CMS Price Transparency Data

Culture, bacterial

Facility: Santa Rosa Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Santa Rosa Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $96 (1114%)
Insurance Median: $9 (104%)
Cash: $96 (1114% of Medicare)
Ins. Median: $9 (104% 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
Humana $4 - $8 46%
Medicaid / KanCare $4 - $5 46%
Wellcare $4 46%
Fl Community Care $5 58%
Molina $5 58%
Aetna $8 - $216 93%
Blue Cross Blue Shield $8 - $384 93%
Cigna $8 - $87 93%
Medicare (plans) $8 93%
Node Champva $8 93%
Tricare $8 93%
UnitedHealthcare $8 - $75 93%
Hospice Of Nw Fl $9 104%
Node Va $9 104%
Node Wellcare Mcr Adv $9 104%
Veterans Eval Services $9 104%
Florida Workers Compensation $10 116%
Prime Health Work Comp Fl $10 116%
Geo Group $11 128%
Node Us Dept Of Labor $11 128%
Oscar $12 139%
Florida State Auto Insurance $17 197%
Ambetter / Centene $21 244%
Self Pay $88 1021%
Prime Health Services $308 3573%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals