CMS Price Transparency Data

Culture, bacterial

Facility: Hancock Regional Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $152
  • Cash Discount Price: $148
  • vs. Medicare Baseline: 17.63x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Hancock Regional Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 17.63x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$148

Average discount available for prompt cash payment at this facility.

Insurance Median
$152

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: $148 (1717%)
Insurance Median: $152 (1763%)
Cash: $148 (1717% of Medicare)
Ins. Median: $152 (1763% 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 1763% of the Medicare baseline (a markup of 1663%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Allwell Mcr Adv - All Plans $9 104%
Beech Street Mcr Adv $9 104%
Blue Cross Blue Shield $9 - $140 104%
Caresource Mcr Adv $9 104%
Communicare Mcr Adv - All Plans $9 104%
Humana $9 - $179 104%
Iu Health Mcr Adv $9 104%
Mhs/Mdwise Mcaid-All Plans $9 104%
Triwest - All Plans $9 104%
UnitedHealthcare $9 - $146 104%
Va Ccn - All Plans $9 104%
Ambetter / Centene $17 197%
Caresource Comm - All Other Plans $22 255%
Iu Health-All Other Plans $24 278%
Ascension - All Plans $136 - $141 1578%
Aetna $138 - $188 1601%
Cigna $146 - $150 1694%
Encore Encircle $146 - $150 1694%
Hancock Phys Network-All Plans $146 - $150 1694%
Unified Group Services- All Plans $146 - $150 1694%
Advantage Self Funded Ppo-All Other Plans $149 - $154 1729%
Healthmark/Healthchoice-All Plans $149 - $154 1729%
Sagamore-All Plans $149 - $154 1729%
Encore-All Other Plans $155 - $160 1798%
Consumers Life-All Plans $160 - $165 1856%
St Vincent Cmo-All Plans $160 - $165 1856%
Siho-All Plans $164 - $169 1903%
Great West-All Plans $167 - $173 1937%
Savility - All Plans $167 - $173 1937%
Cofinity/Ppom - All Plans $169 - $175 1961%
First Health/Coventry-All Plans $171 - $177 1984%
Mail Handlers-All Plans $171 - $177 1984%
Golden Rule Ins-All Plans $173 - $179 2007%
Indiana Health Network-All Plans $173 - $179 2007%
Phcs-All Plans $173 - $179 2007%
Beech Street Ppo - All Other Plans $175 - $180 2030%
Comm Hlth Alliance - All Plans $177 - $182 2053%
Multiplan-All Plans $178 - $184 2065%
Advantage Preferred Plus $182 - $188 2111%
Healthy Indiana Plan-All Plans $182 - $188 2111%
Copps - All Plans $375 - $387 4350%
Pro Health - All Plans $546 - $564 6334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals