CMS Price Transparency Data

Culture, bacterial

Facility: Winn Parish Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $27
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 3.13x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Winn Parish Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 3.13x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $25 (290%)
Insurance Median: $27 (313%)
Cash: $25 (290% of Medicare)
Ins. Median: $27 (313% 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 313% of the Medicare baseline (a markup of 213%). 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 - $84 104%
Ambetter / Centene $9 104%
Blue Advantage $9 104%
Champva $9 104%
Gulf South Risk Services $9 104%
Healthy Blue Dual Adv $9 104%
Hospice Misc $9 104%
Humana $9 - $53 104%
Mcr Lagniappe $9 104%
Medicaid / KanCare $9 - $29 104%
Medicare (plans) $9 - $15 104%
Peoples Health $9 104%
Snf Autumn Leaves $9 104%
Snf Miscellaneous $9 104%
Snf Winnfield Nsg & Rehab $9 104%
Tricare $9 104%
Triwest $9 104%
UnitedHealthcare $9 - $27 104%
Wellcare $9 - $27 104%
Aarp $11 128%
Golden Rule $11 128%
Blue Cross Blue Shield $15 174%
First Health Ppo $19 220%
Web Tpa $19 220%
Self Pay $25 290%
Ima $42 487%
Multiplan Ppo $45 - $53 522%
Cigna $46 - $47 534%
Natl Assoc Of Letter Carr $46 - $84 534%
Ppoplus $50 580%
Zelis $50 580%
La Workers Comp Corp $76 882%
Workman'S Comp Op $76 882%
Aflac $84 974%
American Health Advantage $84 974%
American Retirement $84 974%
Amfirst $84 974%
Apwu Health Plan $84 974%
Attorney Claim $84 974%
Bankers Fidelity $84 974%
Commercial Miscellaneous $84 974%
Correct Care Integrated $84 974%
Fox Everett $84 974%
Gilsbar $84 974%
Guarantee Trust Life $84 974%
Heart Of Hospice $84 974%
Hospice Compassus $84 974%
Legacy Hospice $84 974%
Liberty Mutual $84 974%
Medico Insurance Company $84 974%
Meritain Health $84 974%
Miscellaneous $84 974%
Mutual Of Omaha $84 974%
New Era Life Ins $84 974%
Phcs $84 974%
Philadephia American $84 974%
Physicians Mutual $84 974%
Pipeline Ind Benefit Fund $84 974%
Rural Carrier Benefit $84 974%
Sentinel Security Life $84 974%
State Farm $84 974%
United American Ins $84 974%
United Of Omaha Life Ins $84 974%
Usaa Life Ins Co $84 974%
World Insurance Company $84 974%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals