CMS Price Transparency Data

Culture, bacterial

Facility: HCA Florida Trinity Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $211
  • Cash Discount Price: $2,642
  • vs. Medicare Baseline: 24.48x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at HCA Florida Trinity Hospital is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,642. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 24.48x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.
Cash / Self-Pay
$2,642

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $2,642 (30650%)
Insurance Median: $211 (2448%)
Cash: $2,642 (30650% of Medicare)
Ins. Median: $211 (2448% 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 2448% of the Medicare baseline (a markup of 2348%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $1 - $131 12%
Access 2 Healthcare Physicians Freedom Health $2 - $200 23%
Access 2 Healthcare Physicians Optimum $2 - $200 23%
Freedom Health Care $2 - $217 23%
Optimum Healthcare $2 - $217 23%
Avmed $3 - $696 35%
Simply Healthcare $5 - $428 58%
United $5 - $1,252 58%
Molina $6 - $751 70%
Evolutions Healthcare Systems $7 - $2,560 81%
Caresource $8 93%
Humana $8 - $779 93%
Sunshine State Health Plan $8 - $709 93%
Aetna $9 - $835 104%
Align Senior Care $9 104%
American Health Plan $9 104%
Baycare Health Plans $9 104%
Blue Cross Blue Shield $9 104%
Centurion $9 104%
Cigna $9 104%
Clear Spring Health $9 104%
Devoted Health $9 104%
Florida Complete Care $9 104%
Gold Kidney Of Florida $9 104%
Hernando-Pasco Hospice $9 104%
Ndms Definitive Care $9 104%
Pasco Sheriff'S Office $9 104%
Secur $9 104%
Sunshine State $9 104%
Ultimate Health Plan $9 104%
United Behavioral Health $9 104%
United Va Ccn $9 104%
Wellcare $9 104%
Wellmed $9 104%
Careplus $10 116%
Longevity Health Plan $10 116%
Oscar $12 139%
Solis Health Plan $12 139%
Beacon Health Options $16 - $1,391 186%
Plotkin Health $16 - $1,391 186%
Prime Health Sheriff $16 - $1,391 186%
Multiplan $24 - $2,365 278%
Evernorth $25 - $2,226 290%
Corvel Corporation $230 2668%
Rockport Healthcare Group $230 2668%
Prime Health $235 2726%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Sr 54, Trinity, FL 34655
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals