CMS Price Transparency Data

Culture, bacterial

Facility: Memorial Hospital Miramar

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $652
  • Cash Discount Price: $761
  • vs. Medicare Baseline: 75.64x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Memorial Hospital Miramar is $652. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $761. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 75.64x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$761

Average discount available for prompt cash payment at this facility.

Insurance Median
$652

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: $761 (8828%)
Insurance Median: $652 (7564%)
Cash: $761 (8828% of Medicare)
Ins. Median: $652 (7564% 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 7564% of the Medicare baseline (a markup of 7464%). 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
Florida Community Care $9 104%
Humana $9 104%
Wellcare $9 104%
Aetna $10 - $433 116%
Florida Pace Centers $10 116%
Health Sun $10 - $815 116%
Solis Health Plan $10 116%
UnitedHealthcare $10 - $46 116%
Align Senior Care $11 128%
Longevity $11 128%
Sunshine $12 - $457 139%
Avmed $55 - $334 638%
Amerihealth Caritas $174 2019%
Community Care Plan $185 2146%
Prime Health Services $187 2169%
Cigna $192 - $300 2227%
Molina $196 2274%
Corvel $249 2889%
Employers Choice Network $249 2889%
First Health $249 2889%
Gallagher Bassett $249 - $870 2889%
Employers Health Network $348 4037%
Emerging Therapy Solutions $652 7564%
Allianz $707 8202%
Axis $707 8202%
Desjardins Financial Security Life Assurance Company $707 8202%
Global Health Claims $707 - $924 8202%
Global Medical Management $707 8202%
Global Reach Health $707 8202%
National Healthcare Solutions $707 8202%
Plotkin $707 8202%
Quality Health Management $707 8202%
Quebec Inc $707 8202%
Star Healthcare Network $707 8202%
World Medical Care $707 8202%
Worldwide Managed Care Partners $707 8202%
Worldwide Medical Assurance $707 8202%
Broward County $718 - $2,726 8329%
Dimension Health $734 8515%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals