CMS Price Transparency Data

Culture, bacterial

Facility: HCA Florida Memorial Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $265
  • Cash Discount Price: $1,680
  • vs. Medicare Baseline: 30.74x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at HCA Florida Memorial Hospital is $265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,680. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 30.74x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$1,680

Average discount available for prompt cash payment at this facility.

Insurance Median
$265

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: $1,680 (19490%)
Insurance Median: $265 (3074%)
Cash: $1,680 (19490% of Medicare)
Ins. Median: $265 (3074% 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 3074% of the Medicare baseline (a markup of 2974%). 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
Hospice Community $7 81%
Hospice Haven $8 93%
Humana $8 - $631 93%
Optimum Healthcare $8 - $183 93%
Aetna $9 - $652 104%
American Health Plan $9 104%
Blue Cross Blue Shield $9 104%
Careplus $9 104%
Cigna $9 104%
Devoted Health $9 104%
Florida Complete Care $9 104%
Gold Kidney $9 104%
Ndms Definitive Care $9 104%
Sunshine State $9 104%
United $9 - $979 104%
United Behavioral Health $9 104%
Veterans Evaluation Services $9 104%
Wellcare $9 104%
Wellmed $9 104%
Longevity $10 116%
Avmed $11 - $609 128%
Simply Healthcare $11 - $335 128%
Oscar $12 139%
Positive Healthcare $20 - $478 232%
Sunshine State Health Plan $23 - $555 267%
Molina Healthcare $24 - $587 278%
Centurion $25 - $602 290%
Corizon $27 - $652 313%
Plotkin Health $45 - $1,088 522%
Multiplan $70 - $1,849 812%
Evernorth $72 - $1,740 835%
Evolutions Healthcare $72 - $1,849 835%
Ppo Next $76 - $1,849 882%
Novanet $81 - $1,958 940%
City Of Jacksonville $227 2633%
Corvel Corporation $227 2633%
Prime Health $231 2680%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals