CMS Price Transparency Data

Culture, bacterial

Facility: Ochsner American Legion Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $16
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Ochsner American Legion Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.86x the Medicare baseline. Located in 1634 Elton Road, Jennings, LA.
Cash / Self-Pay
$24

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $24 (278%)
Insurance Median: $16 (186%)
Cash: $24 (278% of Medicare)
Ins. Median: $16 (186% 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 $4 - $18 46%
Aetna $9 - $51 104%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $9 104%
Amerihealth Caritas Louisiana (Healthy Louisiana) $9 104%
Healthy Blue (Healthy Louisiana) $9 104%
Healthy Blue Dual Advantage (Hmo-D-Snp) $9 104%
Humana $9 104%
Louisiana Healthcare Connections (Healthy Louisiana) $9 104%
Medicare (plans) $9 104%
Ochsner Health Plan $9 104%
Tricare $9 104%
UnitedHealthcare $9 104%
Wellcare Of Louisiana $9 104%
Verity Commercial And First Choice Network $10 116%
Provider Network Of America $15 174%
Cigna $17 197%
Zelis $19 - $55 220%
Louisiana Workers' Compensation Corporation (Lwcc) $20 - $908 232%
Healthcomp & Personify Health (Formerly Gilsbar) $21 - $62 244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1634 Elton Road, Jennings, LA 70546
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals