CMS Price Transparency Data

Culture, bacterial

Facility: Kosciusko Community Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $14
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Kosciusko Community Hospital is $14. 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 1.62x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$9

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: $9 (104%)
Insurance Median: $14 (162%)
Cash: $9 (104% 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.

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
Amish Aid $3 - $81 35%
Self Pay $3 - $151 35%
Blue Cross Blue Shield $4 - $14 46%
Lutheran Preferred Network $4 - $309 46%
Php Freedom Network $5 - $149 58%
Physicians Health Plan $5 - $178 58%
UnitedHealthcare $5 - $203 58%
Aetna $6 - $205 70%
Encore $6 - $154 70%
Trma Inc $6 - $174 70%
Caresource $8 - $9 93%
Connecticut General Life Insurance Company $8 - $227 93%
Department Of Veterans Affairs $8 93%
Humana $8 - $9 93%
Medicare (plans) $8 93%
Mhs $8 - $9 93%
Tricare $8 93%
Cigna $9 - $244 104%
In Dept Of Correction $9 104%
Iu Health $9 104%
Managed Health Services $9 104%
Medicaid / KanCare $9 104%
Node Devoted Health Mcr Adv $9 104%
Node Non Par Hospice Agree $9 104%
Node Pphp Mcr Adv $9 104%
Node Va $9 104%
Veterans Eval Services $9 104%
First Health Network $10 - $290 116%
Prime Health Services $10 - $290 116%
Us Department Of Labor $11 128%
Advantage Health $12 - $320 139%
Private Healthcare Systems $12 - $332 139%
Sagamore $12 - $363 139%
Encore Health Network $13 - $359 151%
Lutheran Advanced Network $13 151%
Lutheran Preferred $13 - $17 151%
Align In Work Comp $14 162%
One Call Work Comp $14 162%
Encore Work Comp In $16 186%
Managed Health Services Exchange $17 197%
Workers Comp $17 197%
Encore Kba Epo $21 244%
Encore Kba Ppo $26 302%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals