CMS Price Transparency Data

Culture, bacterial

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Ascension Providence Hospital, Southfield and Novi is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.
Cash / Self-Pay
$29

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: $29 (336%)
Insurance Median: $9 (104%)
Cash: $29 (336% 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
Blue Caid Michigan $5 58%
Harbor Health Mcd $5 58%
Medicaid / KanCare $5 - $9 58%
Molina Health $5 58%
Total Health Care $5 58%
UnitedHealthcare $5 58%
Smarthealth Non Assigned $6 70%
Amerihealth Vip Care Mcr $7 - $9 81%
Bc Metro Detroit Epo $8 93%
Bc Metro Detroit Hmo $8 93%
Bcn Local Network Southeast $8 93%
Blue Care Network $8 93%
Blue Cross Blue Shield $8 93%
Aetna $9 - $10 104%
Auto Insurance $9 104%
Humana $9 104%
Jvhl - Mcr Replacement $9 104%
Mcr Replacement $9 104%
Meridian Wellcare $9 104%
Molina Advantage $9 104%
Veterans Choice $9 104%
Ambetter / Centene $11 128%
Molina Marketplace $11 128%
Priority Ppo $12 139%
Smart Health $12 139%
Hap Alliance Health $13 151%
Hap Hmo Pos $13 151%
Priority Health Hmo $14 162%
Hap Preferred $15 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16001 W Nine Mile Rd, Southfield, MI 48075
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals