Culture, bacterial
Facility: University Of Kansas Hospital
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $101
- Cash Discount Price: $40
- vs. Medicare Baseline: 11.72x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1172% of the Medicare baseline (a markup of 1072%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Larned State Hospital [503200090] | $12 - $104 | 139% |
| Health Plan Inc [503999941] | $18 - $166 | 209% |
| Accarent Health [503999034] | $20 - $176 | 232% |
| Alt Carelon Behavioral Health [503200905] | $20 - $176 | 232% |
| Allied National [503999937] | $23 - $212 | 267% |
| Php [503200005] | $23 - $261 | 267% |
| Geha [503200036] | $24 - $214 | 278% |
| Med-Pay [503200040] | $24 - $214 | 278% |
| Cerner [503200038] | $24 - $214 | 278% |
| Healthlink [503200007] | $24 - $261 | 278% |
| Inter-Americas Insurance [503999032] | $24 - $214 | 278% |
| Alt Wppa [5032000964] | $24 - $214 | 278% |
| Cigna | $25 - $282 | 290% |
| Aha-Healthcare Preferred [503200050] | $26 - $233 | 302% |
| First Health [5032000110] | $26 - $233 | 302% |
| Coeur Plan Services [503301517] | $27 - $247 | 313% |
| Blue Cross Blue Shield | $27 - $271 | 313% |
| Consolidated Billing [50311256] | $27 - $247 | 313% |
| Correct Care Solutions [50311253] | $27 - $247 | 313% |
| Ascension Living Hope [503201517] | $27 - $247 | 313% |
| Orscheln Industries [503201608] | $29 - $265 | 336% |
| Empire Plan/Nyship [503200705] | $30 - $271 | 348% |
| Alt Lucent Health Solutions [503202603] | $30 - $271 | 348% |
| Alt Lineco [5032000976] | $30 - $271 | 348% |
| Quiktrip [5032000412] | $31 - $282 | 360% |
| Century Health Solutions [503200054] | $31 - $282 | 360% |
| Point Comfort Underwriters [503200018] | $31 - $282 | 360% |
| Wppa [503200056] | $33 - $297 | 383% |
| Meritain Health [503200039] | $33 - $297 | 383% |
| Three Rivers Provider Network [503999029] | $35 - $318 | 406% |
| Plan Care America [503999026] | $35 - $318 | 406% |
| Sanford Health Plan [503999027] | $35 - $318 | 406% |
| Employers Health Network [503999025] | $35 - $318 | 406% |
| Usa Managed Care [503999030] | $35 - $318 | 406% |
| Workers Comp [503999901] | $37 - $335 | 429% |
Consumer Guidance & Cost Commentary
University Of Kansas Hospital, located at 4000 Cambridge Street in Kansas City, KS, offers a CPT code 87070 for bacterial culture services. The facility's cash median rate is $40, while the median negotiated rate across 35 payers ranges from $12 to $318, with the highest negotiated rate reaching $335. This code has a Medicare amount of $8.62, and the facility's rating is 5.
For patients with high-deductible plans, the cash price of $40 may be more affordable than the negotiated rates, which can exceed $200 for some insurance carriers. It is important to verify if the facility offers self-pay or prompt-pay discounts to potentially lower the cost before scheduling. Patients should be aware that commercial negotiated rates often include administrative overhead and do not reflect the true cost basis used for Medicare benchmarking.