CMS Price Transparency Data

Culture, bacterial

Facility: North Oaks Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at North Oaks Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 15790 Paul Vega Md Drive, Hammond, LA.
Cash / Self-Pay
$19

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: $19 (220%)
Insurance Median: $9 (104%)
Cash: $19 (220% 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
Aetna $9 - $234 104%
Allwell $9 104%
Blue Advantage $9 104%
Champva $9 104%
Healthy Blue Dual Advantage $9 104%
Humana $9 - $206 104%
Mco Hb $9 104%
Mco Lacare Am $9 104%
Mco Lhc $9 104%
Medicaid / KanCare $9 104%
Peoples Health $9 104%
Tricare $9 104%
UnitedHealthcare $9 - $85 104%
Vantage 65 $9 104%
Veterans Administration $9 104%
Wellcare $9 104%
Blue Cross Blue Shield $19 220%
Coventry $179 2077%
Verity Healthnet $179 2077%
Ppoplus Llc $192 2227%
Multiplan $206 2390%
Cigna $217 2517%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15790 Paul Vega Md Drive, Hammond, LA 70403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals