CMS Price Transparency Data

Culture, bacterial

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $121
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 14.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Cameron Memorial Community Hospital Inc is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 14.04x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $107 (1241%)
Insurance Median: $121 (1404%)
Cash: $107 (1241% of Medicare)
Ins. Median: $121 (1404% 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 1404% of the Medicare baseline (a markup of 1304%). 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.

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 $9 - $100 104%
Caresource Indiana Of In $9 - $80 104%
Managed Health Services $9 104%
Mdwise $9 104%
Aetna $45 - $189 522%
Humana $45 - $188 522%
UnitedHealthcare $45 - $172 522%
Plain Church Group Ministry $55 - $85 638%
Centivo $76 - $119 882%
Lucent $76 - $119 882%
Phcs $105 - $164 1218%
Php $106 - $166 1230%
Sagamore Health Network $108 - $168 1253%
Signature Care $116 - $192 1346%
Three Rivers Preferred $119 - $186 1381%
Cigna $121 - $188 1404%
Coventry $123 - $192 1427%
Lutheran Preferred $126 - $196 1462%
Encore $129 - $201 1497%
Frontpath $129 - $201 1497%
Corvel $130 - $203 1508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 416 E Maumee St, Angola, IN 46703
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals