CMS Price Transparency Data

Culture, bacterial

Facility: Ascension St Vincent Jennings

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $145
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Ascension St Vincent Jennings is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 301 Henry St, North Vernon, IN.
Cash / Self-Pay
$145

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: $145 (1682%)
Insurance Median: $9 (104%)
Cash: $145 (1682% 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
Smarthealth Ppo $3 - $9 35%
Smarthealth Ppo/Hdhp 20161001 $3 - $9 35%
Blue Cross Blue Shield $4 - $11 46%
Encore Exclusive $4 46%
Patoka Valley Tier 1 $4 46%
Patoka Valley Tier 2 $4 46%
UnitedHealthcare $7 - $9 81%
Aetna $9 104%
Corizon $9 104%
Helping Hand Old Order $9 104%
Humana $9 - $20 104%
Immergrun $9 104%
Medicaid / KanCare $9 104%
Medicare (plans) $9 104%
Mhs Care Connect $9 104%
Personalized Care $9 104%
Secure Horizons-Pacificare $9 104%
Secure Horizons-Unicare $9 104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Henry St, North Vernon, IN 47265
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals