CMS Price Transparency Data

Culture, bacterial

Facility: Munson Healthcare Grayling Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $15
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Munson Healthcare Grayling Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.74x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $93 (1079%)
Insurance Median: $15 (174%)
Cash: $93 (1079% of Medicare)
Ins. Median: $15 (174% 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 Cross Blue Shield $5 - $11 58%
Mclaren Health Plan $5 - $61 58%
Meridian $5 58%
Molina $5 - $9 58%
Priority Health $5 - $37 58%
UnitedHealthcare $5 - $65 58%
Aetna $9 - $83 104%
Atrium King Centre Skilled Nursing Services $9 104%
Blue Care Network $9 104%
Cigna $9 - $37 104%
Cofinity $9 - $85 104%
Hap (Health Alliance Plan) $9 - $87 104%
Humana $9 104%
Medicare (plans) $9 104%
Michigan Amish Medical Board $9 104%
Northern Michigan Mennonite Group $9 104%
Promedica $9 104%
Wellcare (Meridian) $9 104%
Wellspring Lutheran Services Skilling Nursing Services $9 104%
Employee Benefits Logistics $15 174%
Hospice Of Michigan $65 754%
Munson Hospice $76 - $852 882%
Asr/Physicians Care $87 1009%
Medical Cost Savings Solution $87 1009%
Nomi Health $87 1009%
The Robbins Group And Regency Employee Benefits $87 1009%
Wds Enterprise Group Planning $87 1009%
First Health/Coventry Network $93 1079%
Provider Network Of America Group Health $93 1079%
Three Rivers Provider Network $93 1079%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals