CMS Price Transparency Data

Culture, bacterial

Facility: Terrebonne General Medical Center - Parish

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $118
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Terrebonne General Medical Center - Parish is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 8166 Main Street, Houma, LA.
Cash / Self-Pay
$118

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $118 (1369%)
Insurance Median: $9 (104%)
Cash: $118 (1369% of Medicare)
Ins. Median: $9 (104% 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.

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
Blue Cross Blue Shield $8 - $21 93%
Dept Of Veterans Affairs $8 93%
Humana $8 - $26 93%
Medicare (plans) $8 93%
UnitedHealthcare $8 - $9 93%
Aetna $9 - $40 104%
Amerihealth $9 104%
Amg $9 104%
Champ Va $9 104%
Medicaid / KanCare $9 104%
Tricare $9 104%
Ppoplus $22 255%
Vantage Health Plan $22 255%
Gilsbar 360 $25 290%
Verity Health $91 1056%
Multiplan Inc $103 1195%
Cigna $107 1241%
Coventry Health Of Louisiana $127 1473%
Workers Comp $159 1845%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8166 Main Street, Houma, LA 70360
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals