CMS Price Transparency Data

Culture, bacterial

Facility: Dupont Hospital LLC

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $17
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Dupont Hospital LLC is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.97x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$14

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $14 (162%)
Insurance Median: $17 (197%)
Cash: $14 (162% of Medicare)
Ins. Median: $17 (197% 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 - $14 46%
Physicians Health Plan $7 - $144 81%
Aetna $8 - $166 93%
Amish Aid $8 - $100 93%
Department Of Veterans Affairs $8 93%
Humana $8 - $9 93%
Medicare (plans) $8 93%
Node Mhs Mcr Adv $8 93%
Self Pay $8 - $167 93%
Tricare $8 93%
UnitedHealthcare $8 - $180 93%
Caresource $9 104%
Cigna $9 - $135 104%
In Dept Of Correction $9 104%
Iu Health $9 104%
Lutheran Preferred $9 - $223 104%
Managed Health Services $9 - $17 104%
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%
Php Freedom Network $10 - $16 116%
Us Department Of Labor $11 128%
Lutheran Advanced Network $13 151%
Lutheran Preferred Fixed 2 $13 151%
Align In Work Comp $14 162%
Encore Ppo $14 - $186 162%
Lutheran Network $14 - $186 162%
Medical Mutual Of Oh $15 - $197 174%
Encore Work Comp In $16 186%
Prime Health Services $16 - $279 186%
Sagamore $16 - $207 186%
In Work Comp $17 197%
Encore Kba Epo $21 244%
Frontpath $23 - $298 267%
Advantage Health Solutions $24 - $309 278%
Encore Health Network $24 - $335 278%
Multiplan $25 - $335 290%
Allied Benefit Systems $26 - $335 302%
Encore Kba Ppo $26 302%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals