CMS Price Transparency Data

Culture, bacterial

Facility: East Jefferson General Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $132
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at East Jefferson General Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 4200 Houma Blvd, Metairie, LA.
Cash / Self-Pay
$132

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $132 (1531%)
Insurance Median: $9 (104%)
Cash: $132 (1531% of Medicare)
Ins. Median: $9 (104% 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.

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 $9 104%
Amerihealth [3503] $9 104%
Blue Cross Blue Shield $9 - $20 104%
Healthy Blue Louisiana [3502] $9 104%
Humana $9 - $27 104%
La Healthcare Connections [3504] $9 104%
Medicaid / KanCare $9 104%
Medicare (plans) $9 104%
Tricare $9 104%
UnitedHealthcare $9 - $11 104%
Veteran'S Administration [8003] $9 104%
Ambetter / Centene $13 151%
Audubon Nature Health Plan [1126] $13 151%
Vantage [1071] $17 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4200 Houma Blvd, Metairie, LA 70006
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals