CMS Price Transparency Data

Culture, bacterial

Facility: Deaconess Hospital Inc

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Deaconess Hospital Inc is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$23

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: $23 (267%)
Insurance Median: $9 (104%)
Cash: $23 (267% 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
Blue Cross Blue Shield $4 - $9 46%
Humana $5 - $16 58%
United Behavioral Health $5 58%
UnitedHealthcare $5 - $12 58%
Aetna $6 - $16 70%
Medicaid / KanCare $6 - $9 70%
Meridiancomplete (Il) $6 - $9 70%
Meridianhealth (Il) $6 70%
Youthcare (Meridian Il) $6 70%
Youthcare (Wellcare Il) $6 70%
Mhnet $7 81%
Triwest Vapc3 $8 - $9 93%
Alliance Coal $9 104%
Ambetter / Centene $9 - $13 104%
Caresource In $9 104%
Center Care Narrow Select $9 104%
Center Care Open Access $9 104%
Deaconess Onecare $9 - $11 104%
Encircle/Encore Combined $9 - $13 104%
Encircle/Encore Elite+ $9 - $13 104%
Encircle/Encore Prime $9 - $13 104%
Iu Health Network $9 - $11 104%
Medicare (plans) $9 104%
Meridiancare (Il) $9 104%
Molina (Il) Mmai $9 104%
Molina Il $9 104%
Mytru Advantage $9 104%
Patoka Valley Health Care (80/20 Plan) $9 104%
Patoka Valley Health Care (90/10 Plan) $9 104%
Wellcare (Il) Mmai $9 104%
Caresource In Marketplace $11 - $13 128%
Allied National $12 - $21 139%
Claimdoc $12 - $21 139%
Healthscope $12 - $21 139%
Hopetrust $12 - $13 139%
Hstechnology $12 - $13 139%
Naphcare $14 162%
Noncontracted $14 162%
Cigna $16 186%
Claritev (Formerly Phcs Multiplan) $16 186%
First Health $16 186%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $16 186%
Ky Racing Health & Welfare Fund $23 267%
Self-Pay $23 267%
Chamber Care $40 464%
Parkview Signature Care $45 522%
Healthlink $50 - $56 580%
National Rural Electric $58 673%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals