CMS Price Transparency Data

Culture, bacterial

Facility: Holy Family Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Holy Family Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 100 N River Rd, Des Plaines, IL.
Cash / Self-Pay
$8

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: $8 (93%)
Insurance Median: $9 (104%)
Cash: $8 (93% 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
Cigna $5 58%
Aetna $7 - $13 81%
Blue Cross Blue Shield $7 - $12 81%
Countycare $7 81%
Humana $7 - $9 81%
Medicaid / KanCare $7 81%
Meridian $8 - $9 93%
Molina $8 - $13 93%
Celtic (Wellcare) $9 104%
Clear Spring Health Of Illinois $9 104%
Devoted Health $9 104%
Essential Health Partners $9 - $10 104%
Illinois Physicians Alliance $9 104%
Longevity Health Plan Of Illinois $9 104%
Medicare (plans) $9 104%
Provider Partners Health Plan (Pphp) $9 104%
Ravenswood Physicians Associates Ipa $9 104%
Resurrection Physicians Provider Group Ipa $9 - $11 104%
Self-Pay $9 104%
Tricare $9 104%
United Behavioral Health $9 104%
UnitedHealthcare $9 - $11 104%
Zing Health Provider Network $9 104%
Access Community Health Network $10 116%
Imagine Health Network $12 139%
Clifton Health Systems $13 151%
Ambetter / Centene $14 162%
Health Link, Inc. $99 1148%
Coventry $118 1369%
Workers Comp $118 1369%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL