CMS Price Transparency Data
Culture, bacterial
Facility: Claiborne Memorial Medical Center
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $102
- Cash Discount Price: $126
- vs. Medicare Baseline: 11.83x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Claiborne Memorial Medical Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 11.83x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$126
Average discount available for prompt cash payment at this facility.
Insurance Median
$102
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: $126 (1462%)
Insurance Median: $102 (1183%)
Cash: $126 (1462% of Medicare)
Ins. Median: $102 (1183% 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 1183% of the Medicare baseline (a markup of 1083%). 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 |
|---|---|---|
| Aetna | $9 - $98 | 104% |
| Amerihealth Caritas La | $9 - $64 | 104% |
| Arcadian Community Mcr Hm | $9 | 104% |
| Blue Cross Blue Shield | $9 - $47 | 104% |
| Champus | $9 | 104% |
| Champva | $9 | 104% |
| Cigna | $9 - $112 | 104% |
| Community Health Solution | $9 - $64 | 104% |
| Correctcare Intergrated | $9 - $64 | 104% |
| Healthy Blue | $9 - $64 | 104% |
| Healthy Blue Dual Adv | $9 | 104% |
| Humana | $9 - $150 | 104% |
| Kaiser Foundation Health | $9 | 104% |
| Louisiana Hc Connections | $9 - $64 | 104% |
| Magellan Services | $9 - $64 | 104% |
| Medicaid / KanCare | $9 - $64 | 104% |
| Medicare (plans) | $9 | 104% |
| Peoples Health Network | $9 | 104% |
| Pyramid Claims Mcr Hmo | $9 | 104% |
| Sterling Connect 2 | $9 | 104% |
| Sterling Premier Mc Hmo | $9 | 104% |
| Superior Health Mcr Hmo | $9 | 104% |
| Tenet Mcr Hmo | $9 | 104% |
| Tricare | $9 | 104% |
| United Hc Mcr Hmo | $9 | 104% |
| UnitedHealthcare | $9 - $64 | 104% |
| Universal Hc Mcr Hmo | $9 | 104% |
| Us Dept Of Labor | $9 | 104% |
| Vantage Health Mcr Hmo | $9 | 104% |
| Windsor Sterling Mcr Hmo | $9 | 104% |
| Wps Mvh Vapc3 | $9 | 104% |
| All Savers | $11 | 128% |
| Golden Rule Ins Co | $11 | 128% |
| United Behavioral Health | $11 | 128% |
| Vantage Health Plan Inc | $11 | 128% |
| Ambetter / Centene | $12 | 139% |
| Sedgwick Claims Mgmt Serv | $26 - $135 | 302% |
| Workman'S Comp | $26 - $135 | 302% |
| Commercial Insurance | $41 - $150 | 476% |
| Meritain Health | $41 - $98 | 476% |
| Coventry Healthcare | $61 - $90 | 708% |
| Geha | $71 - $105 | 824% |
| Health Plus Of La | $71 - $112 | 824% |
| Apwu Healthplan | $76 - $112 | 882% |
| Great West Healthcare | $76 - $112 | 882% |
| Phcs | $82 - $120 | 951% |
| Ppo Plus | $82 - $120 | 951% |
| Aarp | $102 - $150 | 1183% |
| Accordia National | $102 - $150 | 1183% |
| Aflac | $102 - $150 | 1183% |
| Alameda Alliance Forhealt | $102 - $150 | 1183% |
| American Pioneer | $102 - $150 | 1183% |
| Benefit Management | $102 - $150 | 1183% |
| Benesys Inc | $102 - $150 | 1183% |
| Business Guarantor | $102 - $150 | 1183% |
| Chubb | $102 - $150 | 1183% |
| Commercial Sr. Care | $102 - $150 | 1183% |
| Employee Benefit Services | $102 - $150 | 1183% |
| Family Life Insurance Co | $102 - $150 | 1183% |
| Farm Bureau Insurance | $102 - $150 | 1183% |
| Fiserv Health Benefit | $102 - $150 | 1183% |
| Gmp | $102 - $150 | 1183% |
| Group And Pension Admin | $102 - $150 | 1183% |
| Group Resources | $102 - $150 | 1183% |
| Haik Minvielle And Grubbs | $102 - $150 | 1183% |
| Harrington Benefit Svs | $102 - $150 | 1183% |
| Health Design Plus | $102 - $150 | 1183% |
| Health Plan | $102 - $150 | 1183% |
| Healthscope Benefits | $102 - $150 | 1183% |
| Insurance Management Admi | $102 - $150 | 1183% |
| Jefferson National | $102 - $150 | 1183% |
| John Alden Health Ins | $102 - $150 | 1183% |
| John Hancock | $102 - $150 | 1183% |
| Liberty Mutual | $102 - $150 | 1183% |
| Mailhandlers Benefit Plan | $102 - $150 | 1183% |
| Manhattan Life Ins Co | $102 - $150 | 1183% |
| Mega Life And Health | $102 - $150 | 1183% |
| Msa Careguard | $102 - $150 | 1183% |
| Mutual Of Omaha | $102 - $150 | 1183% |
| Nalc Health Benefit Plan | $102 - $150 | 1183% |
| Naphcare Inc. | $102 - $150 | 1183% |
| New Era Life Ins Co | $102 - $150 | 1183% |
| Physicians Mutual | $102 - $150 | 1183% |
| Principal Financial Group | $102 - $150 | 1183% |
| Prudential Healthcare | $102 - $150 | 1183% |
| Self Pay | $102 - $150 | 1183% |
| State Farm | $102 - $150 | 1183% |
| State Farm Insurance | $102 - $150 | 1183% |
| State Mutual Insurance Co | $102 - $150 | 1183% |
| Sterling Investors Life | $102 - $150 | 1183% |
| Tower Life | $102 - $150 | 1183% |
| Transamerica Premier Ins | $102 - $150 | 1183% |
| United American | $102 - $150 | 1183% |
| United Comm Travelers | $102 - $150 | 1183% |
| United Teachers | $102 - $150 | 1183% |
| Usable Administrator | $102 - $150 | 1183% |
| Visn 16 Cfu | $102 - $150 | 1183% |
| Wausau Benefits | $102 - $150 | 1183% |
| Webtpa | $102 - $150 | 1183% |
| Wells Fargo | $102 - $150 | 1183% |
| Woodmen Of The World | $102 - $150 | 1183% |