CMS Price Transparency Data

Culture, bacterial

Facility: Perry County Memorial Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $64
Cash Discount Price: $119
vs. Medicare Baseline: 7.42x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Perry County Memorial Hospital is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 7.42x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $119 (1381%)

Insurance Median: $64 (742%)

Cash: $119 (1381% of Medicare)

Ins. Median: $64 (742% 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 742% of the Medicare baseline (a markup of 642%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bc 130	$4 - $140	46%
Group Insurance	$4 - $175	46%
Nsa	$4 - $108	46%
Medicaid / KanCare	$9 - $175	104%
Medicare (plans)	$9 - $46	104%
Veterans Administration	$9 - $175	104%
Workers Compensation	$52 - $88	603%
Guarantor Liable	$73 - $175	847%
Pcmh Insurnace	$81 - $175	940%
Secondary Insurance	$83 - $140	963%
UnitedHealthcare	$83 - $140	963%
Operating Engineers	$88 - $149	1021%
Boilermakers Healthcare	$90 - $152	1044%
Cigna	$90 - $152	1044%
Great West	$90 - $175	1044%
Sagxxxx	$90 - $152	1044%
Champus	$104 - $175	1206%
Ngs American, Inc	$104 - $175	1206%
Patoka Valley	$104 - $175	1206%
Southwire	$104 - $175	1206%
Tricare	$104 - $175	1206%
Wausau Benefits	$104 - $175	1206%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $119.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87070.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Perry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87070.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.