CMS Price Transparency Data

Culture, bacterial

Facility: Oakdale Community Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $75
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 8.70x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Oakdale Community Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 8.70x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $40 (464%)
Insurance Median: $75 (870%)
Cash: $40 (464% of Medicare)
Ins. Median: $75 (870% 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 870% of the Medicare baseline (a markup of 770%). 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
Aarp $8 93%
All Savers Insurance $8 93%
Geha $8 93%
United Hc Shared Services $8 93%
UnitedHealthcare $8 - $65 93%
Aetna $9 - $166 104%
Allegiance Hospice $9 104%
Allen Oaks Hospice $9 104%
Ambetter / Centene $9 104%
Amfirst $9 - $59 104%
Blue Cross Blue Shield $9 - $14 104%
Champva $9 104%
Compassionate Care Hospic $9 104%
Correct Care $9 - $294 104%
Golden Rule $9 104%
Harbor Hospice $9 104%
Healthy Blue Dual Adv $9 104%
Heart Of Hospice $9 104%
Hos Misc Hospice $9 104%
Humana $9 - $186 104%
Ice Health Service Corp $9 104%
Mcr American Hlth Adv $9 104%
Mcr Lagniappe $9 104%
Medicaid / KanCare $9 - $65 104%
Medicare (plans) $9 104%
Mutual Of Omaha $9 104%
Self Pay $9 - $59 104%
Snf Nursing Home $9 104%
St Francis Nursing Home $9 104%
Triwest $9 - $294 104%
Us Family Health Plan $9 - $294 104%
Wellcare $9 104%
Wellcare Of Louisiana $9 104%
Gulf South Risk Svcs Ip $11 128%
Integrated Med Solutions $12 139%
Hawaii Mainland Administr $13 151%
Meritain $14 - $166 162%
Web-Tpa $22 - $147 255%
Cigna $24 - $166 278%
Ima $27 - $294 313%
Ppo Plus $27 - $177 313%
Wc Gulf South Risk Srvcs $40 - $265 464%
Wc Martco $40 - $265 464%
Wc Misc $40 - $265 464%
Wc Risk Mgmnt-Baton Rouge $40 - $265 464%
Wc Sedwick Workmans Comp $40 - $265 464%
Wc Us Department Of Labor $40 - $265 464%
American Public Life $44 - $294 510%
American Retirement Life $44 - $294 510%
Apwu $44 - $294 510%
Auto Liability $44 - $294 510%
Bankers Life $44 - $294 510%
Fox Everitt $44 - $294 510%
Mailhandlers Benefit Plan $44 - $294 510%
Medishare $44 - $294 510%
Medplus $44 - $294 510%
Misc Commerical $44 - $294 510%
Phcs $44 - $294 510%
Physicians Mutual $44 - $294 510%
State Farm-La $44 - $294 510%
Usaa $44 - $294 510%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 N Hospital Dr, Oakdale, LA 71463
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals