CMS Price Transparency Data
Culture, bacterial
Facility: Palmetto General Hospital
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $12
- Cash Discount Price: $327
- vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Palmetto General Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.39x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$327
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
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: $327 (3794%)
Insurance Median: $12 (139%)
Cash: $327 (3794% of Medicare)
Ins. Median: $12 (139% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Bc/Bs Myblue Hmo Hix | $3 - $90 | 35% |
| Bc/Bs Of Fl Network Blue | $3 - $90 | 35% |
| Bc/Bs Of Fl Simplyblue | $3 - $90 | 35% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $4 - $96 | 46% |
| Bc/Bs Of Fl Health Options Hmo | $4 - $96 | 46% |
| Bc/Bs Of Fl Ppo | $4 - $96 | 46% |
| Cigna | $4 - $314 | 46% |
| Bc/Bs Of Fl Miami Dade Blue Select | $5 - $127 | 58% |
| Humana | $5 - $255 | 58% |
| Medicaid / KanCare | $5 - $629 | 58% |
| UnitedHealthcare | $5 - $8 | 58% |
| Veterans Administration Mill Bill | $6 | 70% |
| Aetna | $8 - $447 | 93% |
| Avmed Broad Network | $8 | 93% |
| Devoted Health | $8 | 93% |
| Leon Health Inc | $8 | 93% |
| Medicare (plans) | $8 - $629 | 93% |
| Bristol Hospice- Miami Dade Llc | $9 | 104% |
| Catholic Hospice | $9 | 104% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $9 | 104% |
| Employer Direct Healthcare | $9 - $11 | 104% |
| Healthsun Health Plans | $9 | 104% |
| Hospice Other | $9 | 104% |
| Ima Evalutations Inc | $9 | 104% |
| Longevity Health Plan | $9 | 104% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $9 | 104% |
| Opuscare Of South Fl | $9 | 104% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $9 | 104% |
| Select Specialty Hospital | $9 | 104% |
| Tricare | $9 | 104% |
| Veterans Administration Vaccn | $9 | 104% |
| Vitas Healthcare Hospice | $9 | 104% |
| Westchester General Hospital | $9 | 104% |
| Bright Health Management Commercial | $10 | 116% |
| Dimension Health Wc | $10 | 116% |
| Florida Pace Centers | $10 | 116% |
| Imagine Health | $10 | 116% |
| Oscar Health Plan Hix | $10 | 116% |
| Workers Compensation | $10 | 116% |
| Self Pay/Uninsured | $11 | 128% |
| Bc/Bs Of Fl Phs | $12 - $316 | 139% |
| Liga Contra El Cancer | $12 - $314 | 139% |
| Naphcare Inc | $12 | 139% |
| Avmed Exchange | $15 | 174% |
| Magellan Behavioral Health | $15 - $377 | 174% |
| Ambetter / Centene | $16 | 186% |
| Dimensions International | $16 - $409 | 186% |
| First Health | $16 - $421 | 186% |
| Molina Marketplace Program Exchange | $16 | 186% |
| Auto Insurance | $17 | 197% |
| Avmed Select Network | $18 | 209% |
| Dimension Health Ppo | $18 - $472 | 209% |
| Amerihealth Caritas Next Exchange | $19 | 220% |
| Beacon Health Strategies Commercial | $24 - $629 | 278% |
| Commercial Non-Contracted | $24 - $629 | 278% |
| Self Pay - Mcd Pending 100 Percent | $24 - $629 | 278% |
| Single Case Agreement | $24 - $629 | 278% |
| United Behavioral Health Psych | $24 - $629 | 278% |