CMS Price Transparency Data

Culture, bacterial

Facility: St Francis Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $14
Cash Discount Price: $13
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at St Francis Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.62x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$13

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $13 (151%)

Insurance Median: $14 (162%)

Cash: $13 (151% of Medicare)

Ins. Median: $14 (162% 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.

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
Blue Cross Blue Shield	$4	46%
Molina Healthcare	$4 - $11	46%
UnitedHealthcare	$4 - $18	46%
Aetna	$4 - $13	46%
Clear Spring Health of Illinois	$4	46%
Humana	$4	46%
Amish Community	$5	58%
Celtic Insurance Company	$9	104%
Claim Doc	$9	104%
Hopetrust	$10	116%
Wexford	$11	128%
Meridian Health Plan	$12	139%
Wellfirst	$12	139%
First Health	$13	151%
Cigna	$14	162%
Caterpillar, Inc.	$14	162%
Healthlink	$15	174%
Current Health Solutions	$15	174%
Multiplan/Phcs	$15	174%
Consociate Group	$15	174%
Provider Network of America	$16	186%
Healthcare Finest Network (Hfn)	$16	186%
Health Alliance Medical Plans	$18	209%
Healthscope	$18	209%
Illinois Breast and Cervical Cancer Program	$18	209%
Interplan	$18	209%
Live360	$18	209%
Naphcare	$18	209%

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 $13.
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 St Francis Hospital 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.