CMS Price Transparency Data

Culture, bacterial

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $40
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 4.64x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Satanta District Hospital, Clinics, & Ltcu is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 4.64x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $59 (684%)
Insurance Median: $40 (464%)
Cash: $59 (684% of Medicare)
Ins. Median: $40 (464% 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 464% of the Medicare baseline (a markup of 364%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Direct Benefit-All Plans $11 - $21 128%
UnitedHealthcare $13 - $87 151%
Berkley Net-All Plans $18 - $35 209%
Aetna $19 - $59 220%
Trustmark Health Benefits-All Plans $19 - $38 220%
Meritain Health-All Plans $20 - $39 232%
Ambetter / Centene $21 - $42 244%
Axa Equitable - All Plans $24 - $48 278%
Medi-Share-All Plans $25 - $50 290%
Pinnacol-All Plans $25 - $49 290%
Presbyterian-All Plans $27 - $53 313%
Kasb Work Comp - All Plans $28 - $56 325%
The Kempton Group Admin-All Plans $30 - $60 348%
Wppa- All Plans $31 - $62 360%
Auxiant - All Plans $31 - $61 360%
Gpha(Wppa)-All Other Plans $31 - $61 360%
Emc-All Plans $32 - $63 371%
Providers Care Network- All Plans $32 - $63 371%
Gpha Employee Benefit Plan $32 - $64 371%
Sisco-All Plans $32 - $63 371%
Employee Benefit-All Plans $33 - $65 383%
Regional Care(Wppa)-All Plans $33 - $65 383%
First Health -All Plans $33 - $66 383%
Triangle-All Plans $33 - $66 383%
One Call Physician-All Plans $34 - $67 394%
Christian Hospital Aid - All Plans $35 - $70 406%
Tricare $35 - $70 406%
Blue Cross Blue Shield $35 - $69 406%
Humana $38 - $75 441%
Cigna $39 - $77 452%
Luminare Health- All Plans $39 - $77 452%
Deseret Mutual(Uhis)-All Plans $40 - $78 464%
Coresource-All Plans $40 - $78 464%
Vaccn-All Plans $40 - $80 464%
Reserve National-All Plans $42 - $83 487%
Wps Vapc-All Plans $42 - $83 487%
Hma Llc-All Plans $42 - $83 487%
Medicaid / KanCare $44 - $87 510%

Consumer Guidance & Cost Commentary

For the bacterial culture service (CPT 87070) at Satanta District Hospital, the cash median price is $59.00, which is lower than the facility's gross charge of $66.00. While the facility's negotiated rates with insurance payers range from $11 to $87, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance allowed amount exceeds $59.00. It is important to note that this facility is a Critical Access Hospital in Kansas, and while the specific county average is not provided in this data, the cash rate is significantly lower than the highest negotiated rates observed, such as the $87.00 maximum for Medicaid/KanCare plans.

To minimize out-of-pocket costs, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. If you are using insurance, be aware that balance billing is generally prohibited for emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur for out-of-network ancillary services. If you receive a bill, always request a full itemized statement rather than accepting a summary invoice, and compare the final allowed amount against the Medicare benchmark of $8.62 to ensure you are not being overcharged relative to the federal cost baseline.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals