CMS Price Transparency Data

Culture, bacterial

Facility: Sacred Heart Hospital on the Emerald Coast

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Sacred Heart Hospital on the Emerald Coast is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 7800 Us Hwy 98 W, Miramar Beach, FL.
Cash / Self-Pay
$273

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $273 (3167%)
Insurance Median: $9 (104%)
Cash: $273 (3167% of Medicare)
Ins. Median: $9 (104% 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

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
Aarp Mcr Hmo $9 104%
Aetna $9 - $23 104%
Blue Mcr Replacement $9 104%
Facility Billing - Op $9 104%
Healthspring Mcr Replacement $9 104%
Humana $9 104%
Medicare (plans) $9 104%
Smarthealth $9 104%
Triwest $9 104%
UnitedHealthcare $9 104%
Wellcare $9 104%
Ambetter / Centene $14 162%
Oscar Health Plan $14 162%
Occunet $16 - $19 186%
Cigna $32 371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7800 Us Hwy 98 W, Miramar Beach, FL 32550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals