CMS Price Transparency Data
Culture, bacterial
Facility: SSM Health St. Mary's Hospital - Jefferson City
Billing Code: 87070 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$24
about 2.7× the $9 Medicare rate · typically $16–$26
modeled estimate · not a bill or quote
Medicare pays $9 Fair price $24 Cash price $51 Hospital's list price $92
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $8 - $9 | 93% |
| Blue Cross Blue Shieldmajor | $9 - $53 | 104% |
| Humanamajor | $9 | 104% |
| Ambetter (Centene) | $9 | 104% |
| + 4 smaller / regional plans | $9 - $16 |
Self-Pay How to get the cash price
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Other Procedures at SSM Health St. Mary's Hospital - Jefferson City
Compare: Culture, bacterial at other MO hospitals
- Mercy Hospital Lebanon · Lebanon $8
- Saint Francis Medical Center · Cape Girardeau $8
- Lafayette Regional Health Center · Lexington $8
- Cedar County Memorial Hospital · El Dorado Springs $8
- Mercy St Francis Hospital · Mountain View $8
- Shriners Hospitals for Children · Saint Louis $8
- Mosaic Life Care at St Joseph · Saint Joseph $9
- Phelps County Regional Medical Center · Rolla $9
Insurance negotiated median for the same procedure, sorted lowest first.