CMS Price Transparency Data

Culture, bacterial

Facility: Northern Louisiana Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $303
  • Cash Discount Price: $238
  • vs. Medicare Baseline: 35.15x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Northern Louisiana Medical Center is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 35.15x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$238

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

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: $238 (2761%)
Insurance Median: $303 (3515%)
Cash: $238 (2761% of Medicare)
Ins. Median: $303 (3515% 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 3515% of the Medicare baseline (a markup of 3415%). 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
Champus $7 81%
Champva $7 81%
Golden Rule Ins $7 - $260 81%
Tricare $7 - $8 81%
UnitedHealthcare $7 - $260 81%
Aetna $9 - $260 104%
Blue Cross Blue Shield $9 - $62 104%
Gulf South Services $9 104%
Humana $9 - $68 104%
Medicaid / KanCare $9 - $432 104%
Medicare (plans) $9 104%
Mutual Of Omaha $9 104%
Va $9 104%
Vantage Advantage $9 104%
Veterans Evaluation Svcs $9 104%
Vantage Health Plan Ppaca $16 186%
Vantage Health Plan $17 197%
First Health $18 - $368 209%
Verity Healthnet $212 2459%
Cigna $216 2506%
Kaiser Permanente $216 2506%
Gilsbar $238 2761%
Self Pay $238 2761%
Geha $346 - $411 4014%
Multiplan $368 4269%
Phcs $368 4269%
Work Comp City Of Ruston $389 4513%
Work Comp First Health $389 4513%
Work Comp Nlmc Emp $389 4513%
Workers Compensation $389 4513%
Aarp $432 5012%
Aflc American Family Life $432 5012%
American Life Accident $432 5012%
Apwu Health Plan $432 5012%
Bankers Life And Casualty $432 5012%
Benefit Trust Life $432 5012%
Crime Victims Compensatio $432 5012%
Equitable $432 5012%
Fox Everett Inc $432 5012%
Gmp Employers Retiree Tru $432 5012%
Gsu Athletics $432 5012%
Guarantee Trust Life Ins $432 5012%
Healthfirst Tpa $432 5012%
Hospice Of Caring Hearts $432 5012%
Ima Insurance $432 5012%
Industrial Accounts $432 5012%
Liberty Healthshare $432 5012%
Liberty Mutual Group $432 5012%
Lifecare Specialty Hosp $432 5012%
Lin Parish Detention $432 5012%
Lincoln Kidney Center $432 5012%
Ltu Athletics $432 5012%
Ltu Student Ins Bollinger $432 5012%
Mcr American Hlth Adv $432 5012%
Misc Commercial $432 5012%
Mva Insurance Payors $432 5012%
Nalc Health Benefit Plan $432 5012%
Nalc Natl Assoc Ltr Carri $432 5012%
Newera $432 5012%
Nlmc Community Services $432 5012%
Physicians Mutual Ins $432 5012%
Premier Hospice $432 5012%
Principal Mutual Life Ins $432 5012%
Protective Life Ins $432 5012%
Ruston Regional Specialty $432 5012%
Specialty Hosp Of Winnfie $432 5012%
State Farm Insurance $432 5012%
State Mutual Ins $432 5012%
Sterling Investors Life $432 5012%
The Hartford $432 5012%
Union Bankers Insurance C $432 5012%
Union Fidelity Life Ins $432 5012%
United American $432 5012%
United Teachers Ins $432 5012%
Us Dept Of Labor $432 5012%
Washington National Ins $432 5012%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals