CMS Price Transparency Data

Culture, bacterial

Facility: Murray-Calloway County Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $125
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 14.50x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Murray-Calloway County Hospital is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 14.50x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $121 (1404%)
Insurance Median: $125 (1450%)
Cash: $121 (1404% of Medicare)
Ins. Median: $125 (1450% 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 1450% of the Medicare baseline (a markup of 1350%). 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
Aetna $9 104%
Blue Cross Blue Shield $9 - $169 104%
Bluegrass - All Plans $9 104%
Humana $9 - $165 104%
Medicaid / KanCare $9 104%
Passport Health - All Plans $9 104%
Tricare $9 104%
Triwest - All Plans $9 104%
Wellcare Mcr Adv $9 104%
Wellcare Health Plan Inc $10 116%
Coventry Cares Of Ky - All Plans $15 - $21 174%
Medben Mcch Employees $15 174%
Occunet - All Plans $15 - $21 174%
Ambetter / Centene $17 197%
Health Cost Solutions - All Plans $22 255%
UnitedHealthcare $89 - $125 1032%
Medben City Of Murray - All Other Plans $104 - $146 1206%
Center Care - All Plans $125 - $176 1450%
Three Rivers - All Plans $139 - $195 1613%
First Health - All Plans $157 - $220 1821%
Healthsmart - All Plans $157 - $220 1821%
Multiplan - All Plans $157 - $220 1821%
Corvel Corporation - All Plans $174 - $244 2019%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 803 Poplar Street, Murray, KY 42071
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals