CMS Price Transparency Data

Culture, bacterial

Facility: Lutheran Hospital of Indiana

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $10
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Lutheran Hospital of Indiana is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.16x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $9 (104%)
Insurance Median: $10 (116%)
Cash: $9 (104% of Medicare)
Ins. Median: $10 (116% 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
Ky Work Comp $1 - $97 12%
Aetna $2 - $184 23%
Amish Aid $2 - $116 23%
Blue Cross Blue Shield $2 - $143 23%
Cigna $2 - $140 23%
Lutheran Preferred $2 - $154 23%
Lutheran Preferred Network $2 - $232 23%
Physicians Health Plan Of Northern Indiana $2 - $152 23%
Sagamore $2 - $209 23%
Self Pay $2 - $139 23%
UnitedHealthcare $2 - $190 23%
Encore Ppo $3 - $189 35%
Lutheran Network $3 - $193 35%
Advantage Health Solutions $4 - $320 46%
Encore Health Network $4 - $347 46%
Multiplan $4 - $320 46%
Prime Health Services $4 - $290 46%
Tricare $4 - $8 46%
Allied Benefit Systems $5 - $347 58%
Department Of Veterans Affairs $5 - $8 58%
Evolutions $5 - $347 58%
Humana $5 - $9 58%
In Dept Of Correction $5 - $9 58%
Iu Health Plan $5 - $8 58%
Managed Health Services $5 - $17 58%
Medicare (plans) $5 - $8 58%
Node Devoted Health Mcr Adv $5 - $9 58%
Node Hospice Non Par Agree $5 - $9 58%
Node Pphp Mcr Adv $5 - $9 58%
Node Va $5 - $9 58%
Php Freedom Network $5 - $16 58%
Veterans Eval Services $5 - $9 58%
Us Department Of Labor $7 - $11 81%
Align Network $8 - $14 93%
Lutheran Advanced Network $8 - $13 93%
Node Lutheran Network $8 - $15 93%
Node Lutheran Preferred Fixed 2 $8 - $13 93%
Care Source $9 104%
Encore Work Comp In $9 - $16 104%
Medicaid / KanCare $9 104%
Node Encore Kba Epo $13 - $21 151%
Node Encore Kba Ppo $16 - $26 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals