CMS Price Transparency Data

Culture, bacterial

Facility: HCA Florida Putnam Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $21
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 2.44x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at HCA Florida Putnam Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 2.44x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
$124

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $124 (1439%)
Insurance Median: $21 (244%)
Cash: $124 (1439% of Medicare)
Ins. Median: $21 (244% 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 244% of the Medicare baseline (a markup of 144%). 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
Humana $8 - $23 93%
Aetna $9 - $40 104%
Align Senior Care $9 104%
American Health Plan $9 104%
Avmed $9 - $67 104%
Blue Cross Blue Shield $9 104%
Centurion $9 104%
Cigna $9 104%
Clear Spring Health $9 104%
Fl Health Care Plan $9 104%
Florida Complete Care $9 104%
Gold Kidney Of Florida $9 104%
Ndms Definitive Care $9 104%
Putnam County Sheriffs $9 104%
Sunshine State $9 104%
United $9 - $60 104%
Wellcare $9 104%
Wellmed $9 104%
Longevity Health Plan $10 116%
Ultimate Health Plan $10 116%
Oscar $11 128%
Simply $11 - $21 128%
Simply Healthcare $11 128%
Molina Healthcare $13 - $43 151%
Evolutions $16 - $31 186%
Sunshine State Health Plan $18 - $34 209%
Plotkin Health $36 - $67 418%
Prime Health Sheriff $36 - $67 418%
Multiplan $55 - $113 638%
Corvel Corporation $213 2471%
Prime Health $218 2529%
Careworks (Rockport Community) $224 2599%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals