CMS Price Transparency Data
Culture, bacterial
Facility: St Joe Mercy Hospital System Livonia
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $64
- Cash Discount Price: $73
- vs. Medicare Baseline: 7.42x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at St Joe Mercy Hospital System Livonia is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 7.42x the Medicare baseline. Located in 36475 Five Mile Road, Livonia, MI.
Cash / Self-Pay
$73
Average discount available for prompt cash payment at this facility.
Insurance Median
$64
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: $73 (847%)
Insurance Median: $64 (742%)
Cash: $73 (847% of Medicare)
Ins. Median: $64 (742% 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 742% of the Medicare baseline (a markup of 642%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $5 - $130 | 58% |
| Medicaid / KanCare | $5 - $74 | 58% |
| Aetna | $8 - $130 | 93% |
| Bcn Domestic | $8 | 93% |
| Blue Benefit Administrators Of Massachusetts | $8 | 93% |
| Blue Care Network | $8 | 93% |
| Blue Care Network Advantage | $8 - $130 | 93% |
| Blue Distinction Transplant | $8 | 93% |
| Blue Shield - Ca | $8 | 93% |
| Blue Shield - Id (Regence) | $8 | 93% |
| Blue Shield - Ny Highmark Northeastern | $8 | 93% |
| Blue Shield - Ny Highmark Western | $8 | 93% |
| Blue Shield - Pa (Highmark) | $8 | 93% |
| Blue Shield - Wa (Regence) | $8 | 93% |
| Health Choices | $8 - $72 | 93% |
| Hospice Of Michigan | $8 | 93% |
| Kaiser Domestic | $8 | 93% |
| Medicare (plans) | $8 - $139 | 93% |
| Align Senior Care | $9 - $133 | 104% |
| Angela Hospice | $9 | 104% |
| Cca - Zing Health | $9 - $140 | 104% |
| UnitedHealthcare | $9 - $137 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $10 - $150 | 116% |
| U Of M Health Plan | $10 | 116% |
| Molina Marketplace | $11 | 128% |
| Geha | $13 - $72 | 151% |
| Health Cost Solutions | $13 | 151% |
| Luminare Health (Detroit) | $13 | 151% |
| Meritain | $13 | 151% |
| Vitalcore | $13 - $206 | 151% |
| Wellpath | $13 | 151% |
| Employee Benefit Logistic | $19 | 220% |
| Priority Health | $20 - $23 | 232% |
| Wc Accident Fund | $28 - $32 | 325% |
| Wc Advantage | $28 - $32 | 325% |
| Wc Aig | $28 - $32 | 325% |
| Wc Allied | $28 - $32 | 325% |
| Wc Amerisure | $28 - $32 | 325% |
| Wc Amtrust | $28 - $32 | 325% |
| Wc Asu Risk Mgt | $28 - $32 | 325% |
| Wc Berkley Admin | $28 - $32 | 325% |
| Wc Broadspire | $28 - $32 | 325% |
| Wc Bunch & Associates | $28 - $32 | 325% |
| Wc Ccmsi | $28 - $32 | 325% |
| Wc Emc Insurance Company | $28 - $32 | 325% |
| Wc Esis | $28 - $32 | 325% |
| Wc Fcci | $28 - $32 | 325% |
| Wc Federated | $28 - $32 | 325% |
| Wc Gallagher Bassett | $28 - $32 | 325% |
| Wc Genex Care For Ohio | $28 - $32 | 325% |
| Wc Guard Insurance Company | $28 - $32 | 325% |
| Wc Hartford | $28 - $32 | 325% |
| Wc Liberty Mutual | $28 - $32 | 325% |
| Wc Meijers | $28 - $32 | 325% |
| Wc Michigan | $28 - $32 | 325% |
| Wc Mitchell Frankenmuth | $28 - $32 | 325% |
| Wc Pma | $28 - $32 | 325% |
| Wc Sedgwick | $28 - $32 | 325% |
| Wc Sentry | $28 - $32 | 325% |
| Wc Travelers | $28 - $32 | 325% |
| Wc Tristar | $28 - $32 | 325% |
| Wc Walmart | $28 - $32 | 325% |
| Wc Zurich | $28 - $32 | 325% |
| Asr Health Benefits | $34 | 394% |
| Caresource | $34 | 394% |
| Hap | $34 - $69 | 394% |
| Varipro | $34 | 394% |
| Acs Benefit Services | $43 - $48 | 499% |
| Allied Benefit Systems | $43 - $48 | 499% |
| Claimchoice Adminstrators | $43 - $48 | 499% |
| Consociate | $43 - $48 | 499% |
| Cypress Benefit Administrators | $43 - $48 | 499% |
| Forest County Potawatomi | $43 - $48 | 499% |
| Health Smart | $43 - $48 | 499% |
| Healthgram | $43 - $48 | 499% |
| Healthscope | $43 - $48 | 499% |
| Secureone Preferred United Plans | $43 - $48 | 499% |
| Sisco Benefits | $43 - $48 | 499% |
| The Health Plan | $43 - $48 | 499% |
| Trustmark Small Business Benefits | $43 - $48 | 499% |
| Unified Group Services | $43 - $48 | 499% |
| Webtpa | $43 - $48 | 499% |
| Health Partners | $62 - $69 | 719% |
| Tufts Health Plan | $62 - $69 | 719% |
| Cigna | $63 - $90 | 731% |
| Access Health | $64 - $72 | 742% |
| Acclaim | $64 - $72 | 742% |
| Administrative Concepts | $64 - $72 | 742% |
| Allegeant | $64 - $72 | 742% |
| Ameriben | $64 - $72 | 742% |
| American Family | $64 - $72 | 742% |
| American Healthcare Alliance | $64 - $72 | 742% |
| American National | $64 - $72 | 742% |
| American Republic | $64 - $72 | 742% |
| Amerihealth | $64 - $72 | 742% |
| Aultcare | $64 - $72 | 742% |
| Automated Benefit Services | $64 - $72 | 742% |
| Auxiant | $64 - $72 | 742% |
| Benefit Administrative Systems,Llc | $64 - $72 | 742% |
| Boon Chapman | $64 - $72 | 742% |
| Cam Administrative Services | $64 - $72 | 742% |
| Christian Brother Services | $64 - $72 | 742% |
| Christian Brothers Holy Cross | $64 - $72 | 742% |
| Comprehensive Benefits | $64 - $72 | 742% |
| Continental Life Insurance | $64 - $72 | 742% |
| Custom Benefit Administrators | $64 - $72 | 742% |
| Employee Benefit Concepts | $64 - $72 | 742% |
| Employee Benefit Management | $64 - $72 | 742% |
| Enterprise Group Planning | $64 - $72 | 742% |
| Freedom Life Insurance Company | $64 - $72 | 742% |
| Group Administrators | $64 - $72 | 742% |
| Group Marketing Services | $64 - $72 | 742% |
| Guardian | $64 - $72 | 742% |
| Health America | $64 - $72 | 742% |
| Healthcare Management Admin | $64 - $72 | 742% |
| Healthez | $64 - $72 | 742% |
| Humana | $64 - $72 | 742% |
| Insight | $64 - $72 | 742% |
| Intercare | $64 - $72 | 742% |
| Jfp Benefit Management | $64 - $72 | 742% |
| Jp Farley Corporation | $64 - $72 | 742% |
| Key Benefit Administrator | $64 - $72 | 742% |
| Liberty Union Life Assurance Co | $64 - $72 | 742% |
| Lucent Health | $64 - $72 | 742% |
| Luminare Health | $64 - $72 | 742% |
| Magnacare | $64 - $72 | 742% |
| Medben | $64 - $72 | 742% |
| Medcost | $64 - $72 | 742% |
| Medical Mutual | $64 - $72 | 742% |
| Mutual Health Services | $64 - $72 | 742% |
| Mutual Of Omaha | $64 - $72 | 742% |
| Ncas | $64 - $72 | 742% |
| Nippon Life Ins | $64 - $72 | 742% |
| Nova | $64 - $72 | 742% |
| Painters Union Insurance Fund | $64 - $72 | 742% |
| Physicians Mutual | $64 - $72 | 742% |
| Plumbers Local 98 Insurance Fund | $64 - $72 | 742% |
| Prairie States | $64 - $72 | 742% |
| Preferred One | $64 - $72 | 742% |
| Primary Physician Care | $64 - $72 | 742% |
| Professional Benefit Administrators | $64 - $72 | 742% |
| Siho Insurance Services | $64 - $72 | 742% |
| The Loomis Company | $64 - $72 | 742% |
| Unicare | $64 - $72 | 742% |
| Us Health And Life | $64 - $72 | 742% |
| Valenz | $64 - $72 | 742% |
| Western & Southern Financial Group | $64 - $72 | 742% |
| Wps | $64 - $72 | 742% |
| 1199 National Benefit Fund | $65 - $72 | 754% |
| Allied National Global Care | $65 - $72 | 754% |
| Asrm - Reliance Standard Life Insurance | $65 - $72 | 754% |
| Christian Care Ministry | $65 - $72 | 754% |
| Dean Health | $65 - $72 | 754% |
| Fallon Health | $65 - $72 | 754% |
| Family Life Insurance Company | $65 - $72 | 754% |
| Ghc Scw | $65 - $72 | 754% |
| Group Pension Administrators | $65 - $72 | 754% |
| International Benefit Administrators | $65 - $72 | 754% |
| Lifetime Benefit Solutions | $65 - $72 | 754% |
| Manhattan Life | $65 - $72 | 754% |
| Medi Share | $65 - $72 | 754% |
| Multiplan | $65 - $72 | 754% |
| Mvp | $65 - $72 | 754% |
| Pai | $65 - $72 | 754% |
| Pan-American Life | $65 - $72 | 754% |
| Paramount Hmo | $65 - $72 | 754% |
| Phcs | $65 - $72 | 754% |
| Trinity Health Share | $65 - $72 | 754% |
| First Health | $66 - $74 | 766% |
| Coventry | $81 - $90 | 940% |
| Prime Health Services | $81 - $90 | 940% |
| Three Rivers Provider Network | $91 - $102 | 1056% |
| Carelon Behavioral Health | $101 - $113 | 1172% |
| Cmh Detroit Wayne Integrated Health Network | $101 - $113 | 1172% |
| Cmh Lenawee County | $101 - $113 | 1172% |
| Cmh Livingston County | $101 - $113 | 1172% |
| Cmh Misc | $101 - $113 | 1172% |
| Cmh Monroe County | $101 - $113 | 1172% |
| Cmh Washtenaw County | $101 - $113 | 1172% |
| Magellan Behavioral Health | $101 - $113 | 1172% |