CMS Price Transparency Data

Culture, bacterial

Facility: Good Samaritan Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Good Samaritan Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 235 North Pearl Street, Brockton, MA.
Cash / Self-Pay
$15

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: $15 (174%)
Insurance Median: $9 (104%)
Cash: $15 (174% 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
Fallon Healthcre Aco [1121] $8 93%
Hlth New England Aco [1123] $8 93%
Mass General Brigham Health Plan Aco [1120] $8 93%
Mass General Brigham Health Plan Mcd Mnged [1107] $8 93%
Medicaid / KanCare $8 93%
Tufts Together Aco [1122] $8 93%
Tufts Together Mco [1125] $8 93%
Wellsense Alli Aco [1118] $8 93%
Wellsense Essential Mco [1101] $8 93%
Aetna $9 - $25 104%
Blue Cross Blue Shield $9 - $21 104%
Cca [1215] $9 104%
Eternalhealth [1227] $9 104%
Humana $9 104%
Medicare (plans) $9 104%
Neighborhood Pace [1206] $9 104%
Ubh Hphc [8016] $9 104%
United Community Plan [1202] $9 104%
UnitedHealthcare $9 104%
Veterans Admin [9003] $9 104%
Zzzcca Onecare [1216] $9 104%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $9 104%
Fallon [8008] $11 128%
Senior Whole Health [1210] $13 151%
Unicare [8004] $15 174%
Wellpoint [2034] $15 174%
Cigna $20 - $25 232%
Mass General Brigham Health Plan Commercial [8009] $20 232%
Mass General Brigham Health Plan Prime [7003] $20 232%
Tufts [8002] $21 - $25 244%
Meritain Health [1023] $25 290%
Harvard Pilgrim Health Care [8001] $33 383%
Hsn Bad Debt [4003] $395 4582%
Hsn Confidential [4007] $395 4582%
Hsn Dental [4006] $395 4582%
Hsn Partial [4002] $395 4582%
Hsn [4001] $395 4582%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 North Pearl Street, Brockton, MA 02301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals