CMS Price Transparency Data

Culture, bacterial

Facility: HCA Florida Blake Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $347
  • Cash Discount Price: $2,120
  • vs. Medicare Baseline: 40.26x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at HCA Florida Blake Hospital is $347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,120. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 40.26x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$2,120

Average discount available for prompt cash payment at this facility.

Insurance Median
$347

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: $2,120 (24594%)
Insurance Median: $347 (4026%)
Cash: $2,120 (24594% of Medicare)
Ins. Median: $347 (4026% 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 4026% of the Medicare baseline (a markup of 3926%). 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
Caresource $8 93%
Humana $8 - $659 93%
Aetna $9 - $706 104%
Align Senior Care $9 104%
American Health Plan $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%
Ndms Definitive Care $9 104%
Secur $9 104%
Sunshine State $9 104%
Ultimate Health Plan $9 104%
United $9 - $1,059 104%
United Va Ccn $9 104%
Wellcare $9 104%
Wellmed $9 104%
Careplus $10 116%
Simply Healthcare $12 - $400 139%
Oscar $13 151%
Access 2 Healthcare Physicians Freedom Optimum Group Members $42 - $111 487%
Access 2 Healthcare Physicians Freedom Health $64 - $169 742%
Access 2 Healthcare Physicians Optimum $64 - $169 742%
Freedom Health Care $69 - $184 800%
Optimum Healthcare $69 - $184 800%
Avmed $71 - $588 824%
Molina $169 - $635 1961%
Evolutions Healthcare Systems $205 - $2,165 2378%
Sunshine State Health Plan $227 - $600 2633%
Corvel Corporation $230 2668%
Rockport Healthcare Group $230 2668%
Prime Health $235 2726%
Behealthy America $347 - $918 4026%
Healthcare Sarasota $445 - $1,176 5162%
Plotkin Health $445 - $1,176 5162%
Prime Health Sheriff $445 - $1,176 5162%
Multiplan $668 - $2,000 7749%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals