CMS Price Transparency Data

Culture, bacterial

Facility: Steele Memorial Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $36
Cash Discount Price: $30
vs. Medicare Baseline: 4.18x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Steele Memorial Medical Center is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 4.18x the Medicare baseline. Located in 203 South Daisy Street, Salmon, ID.

Cash / Self-Pay

$30

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $30 (348%)

Insurance Median: $36 (418%)

Cash: $30 (348% of Medicare)

Ins. Median: $36 (418% 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 418% of the Medicare baseline (a markup of 318%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Regence Blue Shield - All Plans	$3 - $10	35%
Aetna	$16 - $106	186%
Blue Cross Blue Shield	$17 - $112	197%
Pacific Source Mcr Adv	$17 - $53	197%
Select Health Mcr Adv	$17 - $53	197%
Windsor Hp Mcr Adv - All Plans	$17 - $53	197%
Liberty Healthshare - All Plans	$29 - $89	336%
Pacific Source - All Other Plans	$32 - $101	371%
Cigna	$33 - $103	383%
Mountain Health Co-Op - All Plans	$34 - $106	394%
Select Health Inc - All Other Plans	$34 - $106	394%
UnitedHealthcare	$34 - $106	394%
Multiplan - All Plans	$35 - $110	406%
Three Rivers - All Plans	$35 - $110	406%
Ichn, Llc - All Plans	$36 - $112	418%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $30.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87070.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Steele Memorial Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87070.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.