CMS Price Transparency Data

Culture, bacterial

Facility: Bienville Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $29
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 3.36x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Bienville Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 3.36x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $89 (1032%)
Insurance Median: $29 (336%)
Cash: $89 (1032% of Medicare)
Ins. Median: $29 (336% 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 336% of the Medicare baseline (a markup of 236%). 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 $2 - $240 23%
Medicaid / KanCare $2 - $14 23%
Mmd Amerihealth Caritas $2 - $14 23%
Mmd Healthy Blue $2 - $14 23%
Mmd La Hlth Conn $2 - $14 23%
Mmd Misc $2 - $14 23%
UnitedHealthcare $2 - $130 23%
Ambetter / Centene $9 - $130 104%
Humana $9 - $155 104%
Mcr American Hlth Adv $9 - $130 104%
Medicare (plans) $9 - $130 104%
Misc Mgd Care $9 - $240 104%
Mmc Blue Advantage $9 - $130 104%
Mmc Misc $9 - $130 104%
Peoples Health Mcr Adv $9 - $130 104%
Va Health $9 - $130 104%
Cashiering $11 - $144 128%
Cigna $14 - $120 162%
Blue Cross Blue Shield $17 - $144 197%
Wc City Of Arcadia $26 - $216 302%
Wc House Of Raeford $26 - $216 302%
Wc Misc $26 - $216 302%
Wc Stonetrust $26 - $216 302%
Aarp $28 - $240 325%
Allegiance Health Managme $28 - $240 325%
Amfirst $28 - $240 325%
Apwu $28 - $240 325%
Liberty Mutual $28 - $240 325%
Misc Comm A-L $28 - $240 325%
Misc Comm M-Z $28 - $240 325%
Tricare $28 - $240 325%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1175 Pine Street, Arcadia, LA 71001
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals