CMS Price Transparency Data
Culture, bacterial
Facility: Avoyelles Hospital
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $230
- Cash Discount Price: $83
- vs. Medicare Baseline: 26.68x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Avoyelles Hospital is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 26.68x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$83
Average discount available for prompt cash payment at this facility.
Insurance Median
$230
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: $83 (963%)
Insurance Median: $230 (2668%)
Cash: $83 (963% of Medicare)
Ins. Median: $230 (2668% 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 2668% of the Medicare baseline (a markup of 2568%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $8 - $543 | 93% |
| Aetna | $9 - $538 | 104% |
| Bankers Life | $9 | 104% |
| Champva | $9 | 104% |
| Cigna | $9 - $540 | 104% |
| Correct Cr Int Hlt | $9 - $199 | 104% |
| Mcd Amerihealth Caritas | $9 - $199 | 104% |
| Mcd Healthy Blue | $9 - $199 | 104% |
| Mcd La Hc Conn | $9 - $199 | 104% |
| Mcd Ms | $9 - $219 | 104% |
| Mcr Lagniappe | $9 | 104% |
| Medeico Ins Co | $9 | 104% |
| Medicaid / KanCare | $9 - $199 | 104% |
| Medicare (plans) | $9 | 104% |
| Mmc Allwell | $9 | 104% |
| Mmc Blue Advantage | $9 | 104% |
| Mmc Healthy Blue Dual Adv | $9 | 104% |
| Mmc Mcr Hmo Miscellaneous | $9 | 104% |
| Mmc Priority Hlth Pffs | $9 | 104% |
| Mmc Vantage Hlth | $9 | 104% |
| Mmc Wellcare | $9 | 104% |
| Mutual Of Omaha | $9 | 104% |
| Neba Inc | $9 | 104% |
| Philadelphia American Lif | $9 | 104% |
| Sentinel Security Life | $9 | 104% |
| Trustmark Health Benefits | $9 - $958 | 104% |
| Tunica Biloxi | $9 - $958 | 104% |
| United Amer Ins | $9 | 104% |
| UnitedHealthcare | $9 - $199 | 104% |
| Veterans Evaluation Serv | $9 | 104% |
| Wps Vacca | $9 | 104% |
| All Savers | $11 | 128% |
| Geha | $11 | 128% |
| Gulf South Zelis | $11 | 128% |
| United Hlth One | $11 | 128% |
| Amer Contl Ins | $13 - $538 | 151% |
| Coventry | $13 - $538 | 151% |
| First Choice Health | $13 - $538 | 151% |
| Meritan Health | $13 - $958 | 151% |
| Blue Cross Blue Shield | $14 | 162% |
| Ofc Of Grp Bene | $14 | 162% |
| Student Assurances | $40 - $958 | 464% |
| Ppo Plus Llc | $80 - $575 | 928% |
| Zelis Healthcare Bpa | $80 - $575 | 928% |
| Gilsbar | $84 - $604 | 974% |
| Amerind | $120 - $862 | 1392% |
| Applied Underwriters | $120 - $862 | 1392% |
| Sedgwick | $120 - $862 | 1392% |
| Us Dept Of Labor | $120 - $862 | 1392% |
| Wc Clms Admin Svcs | $120 - $862 | 1392% |
| Wc Clms Mgmnt Walmart | $120 - $862 | 1392% |
| Wc Esis | $120 - $862 | 1392% |
| Wc Fara | $120 - $862 | 1392% |
| Wc Gallagher Bassett | $120 - $862 | 1392% |
| Wc Guide One | $120 - $862 | 1392% |
| Wc Hartford Med | $120 - $862 | 1392% |
| Wc Luba | $120 - $862 | 1392% |
| Wc Lwcc | $120 - $862 | 1392% |
| Wc Paragon Casino Resort | $120 - $862 | 1392% |
| Wc Risk Mgmnt | $120 - $862 | 1392% |
| Wc Stone Trust | $120 - $862 | 1392% |
| Wc Summit Consulting Hold | $120 - $862 | 1392% |
| Wc Travelers Ins | $120 - $862 | 1392% |
| Wc Trs Workers Comp Claim | $120 - $862 | 1392% |
| Wc Us Dol | $120 - $862 | 1392% |
| Wc Zurich | $120 - $862 | 1392% |
| Aarp | $133 - $958 | 1543% |
| Admin Concepts | $133 - $958 | 1543% |
| All Saints Hospice | $133 - $958 | 1543% |
| All State | $133 - $958 | 1543% |
| Allegiance Health Hospice | $133 - $958 | 1543% |
| Allied Natl | $133 - $958 | 1543% |
| Amfirst | $133 - $958 | 1543% |
| Avoy Parish School Board | $133 - $958 | 1543% |
| Avoyelles Parish Sheriff | $133 - $958 | 1543% |
| Bollinger | $133 - $958 | 1543% |
| Ccmsi | $133 - $958 | 1543% |
| Central States | $133 - $958 | 1543% |
| Christus Health Plan | $133 - $958 | 1543% |
| Compassionate Care Hospic | $133 - $958 | 1543% |
| Core Source | $133 - $958 | 1543% |
| Coushatta Hlth Dept | $133 - $958 | 1543% |
| Ebms | $133 - $958 | 1543% |
| Federated Ins | $133 - $958 | 1543% |
| Feedom Life | $133 - $958 | 1543% |
| Fidelity Standard Life Co | $133 - $958 | 1543% |
| Fox Everette | $133 - $958 | 1543% |
| Guarantee Trust | $133 - $958 | 1543% |
| Heart Of Hospice | $133 - $958 | 1543% |
| Hos Christus Hospice | $133 - $958 | 1543% |
| Hos Guardian Hospice Care | $133 - $958 | 1543% |
| Hos Harbor Hospice Alex | $133 - $958 | 1543% |
| Hos La Hospice Palliative | $133 - $958 | 1543% |
| Hos Passages Hospice N. | $133 - $958 | 1543% |
| Hos St Joseph Hospice | $133 - $958 | 1543% |
| Hospice Miscellaneous | $133 - $958 | 1543% |
| Ins Mgmnt Admin | $133 - $958 | 1543% |
| Ins Tpa | $133 - $958 | 1543% |
| Liberty Health Share | $133 - $958 | 1543% |
| Lumico | $133 - $958 | 1543% |
| Manhattan Life Ins | $133 - $958 | 1543% |
| Medi Share | $133 - $958 | 1543% |
| Misc Comm | $133 - $958 | 1543% |
| Nalc | $133 - $958 | 1543% |
| New Era Life | $133 - $958 | 1543% |
| North American | $133 - $958 | 1543% |
| Phcs | $133 - $958 | 1543% |
| Physicians Mutual | $133 - $958 | 1543% |
| Pipeline Ind Bene | $133 - $958 | 1543% |
| Progressive Auto | $133 - $958 | 1543% |
| Reliance Standard Life | $133 - $958 | 1543% |
| Rural Carriers | $133 - $958 | 1543% |
| Shelter Ins Co | $133 - $958 | 1543% |
| Sierre Health And Life | $133 - $958 | 1543% |
| State Farm | $133 - $958 | 1543% |
| State Mutual | $133 - $958 | 1543% |
| Sterling Investors | $133 - $958 | 1543% |
| The Health Plan | $133 - $958 | 1543% |
| Tribal Hlth Partners | $133 - $958 | 1543% |
| Tricare | $133 - $958 | 1543% |
| Uct | $133 - $958 | 1543% |
| Unified Life | $133 - $958 | 1543% |
| Usaa Life Ins | $133 - $958 | 1543% |
| Web-Tpa | $133 - $958 | 1543% |
| Woodmen Of The World | $133 - $958 | 1543% |