Culture, bacterial
Facility: Greenwood County Hospital
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $67
- Cash Discount Price: $63
- vs. Medicare Baseline: 7.77x 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 777% of the Medicare baseline (a markup of 677%). 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 |
|---|---|---|
| UnitedHealthcare | $7 - $66 | 81% |
| Triwest - All Plans | $28 | 325% |
| Blue Cross Blue Shield | $30 - $32 | 348% |
| Choicecare Mcr Adv - All Plans | $33 | 383% |
| Tricare | $33 | 383% |
| Integrated Health Plan - All Plans | $59 | 684% |
| First Health - All Other Plans | $67 | 777% |
| First Health Ccn Network | $67 | 777% |
| Beech Street - All Plans | $67 | 777% |
| Preferred Hs (Coventry) - All Plans | $71 | 824% |
| Principal Health Care Inc - All Plans | $75 | 870% |
| Amerigroup Mcaid-All Plans | $79 | 916% |
| Medicaid / KanCare | $79 | 916% |
| Providrs Care/Wppa - All Plans | $118 | 1369% |
Consumer Guidance & Cost Commentary
For the CPT code 87070 (Culture, bacterial) at Greenwood County Hospital in Eureka, KS, the facility's cash median price is $63.00, which is lower than the state average of $67.00. While the facility's negotiated rates range from $7 to $118 depending on the payer, patients with high-deductible plans may find paying the cash price of $63.00 more cost-effective than relying on insurance, as commercial negotiated rates often exceed cash prices due to administrative overhead. It is important to verify the specific allowed amount for your plan before scheduling, as in-network rates vary significantly even within the same facility.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the administrative costs associated with insurance claims. Additionally, since the facility is a Critical Access Hospital with government ownership, you should request a full itemized bill to ensure no errors exist, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes. When evaluating the facility's pricing, it is more accurate to compare rates against the Medicare benchmark of $8.62 rather than the hospital's gross charges, as Medicare rates represent the true cost baseline for this service.