CMS Price Transparency Data

Culture, bacterial

Facility: Morris Hospital & Healthcare Centers

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $202
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 23.43x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Morris Hospital & Healthcare Centers is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 23.43x the Medicare baseline. Located in 150 W High St, Morris, IL.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

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: $70 (812%)
Insurance Median: $202 (2343%)
Cash: $70 (812% of Medicare)
Ins. Median: $202 (2343% 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 2343% of the Medicare baseline (a markup of 2243%). 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
Aetna $9 - $182 104%
Choicecare Hum Mcr Ppo $9 104%
Health Alliance Mcr Adv $9 104%
UnitedHealthcare $9 - $228 104%
Blue Cross Blue Shield $124 - $142 1439%
Cigna $127 - $222 1473%
Caterpillar - All Plans $130 - $133 1508%
Capp Care Ppo-Oth $138 - $142 1601%
Ambetter / Centene $202 - $207 2343%
Choicecare Hum Othr - All Other Plans $230 - $237 2668%
Multiplan - All Other Plans $230 - $237 2668%
Multiplan Prime Ntwrk $230 - $237 2668%
Health Alliance - All Other Plans $245 - $252 2842%
Hfn All Plans - All Plans $245 - $252 2842%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 W High St, Morris, IL 60450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals