CMS Price Transparency Data

Culture, bacterial

Facility: Research Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $105
  • Cash Discount Price: $707
  • vs. Medicare Baseline: 12.18x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Research Medical Center is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $707. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 12.18x the Medicare baseline. Located in 2316 E Meyer Blvd, Kansas City, MO.
Cash / Self-Pay
$707

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $707 (8202%)
Insurance Median: $105 (1218%)
Cash: $707 (8202% of Medicare)
Ins. Median: $105 (1218% 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 1218% of the Medicare baseline (a markup of 1118%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Cigna $4 - $440 46%
United $7 - $396 81%
Aetna $8 - $449 93%
Amerigroup $8 93%
Blue Cross Blue Shield $8 - $343 93%
Healthyblue $8 93%
Medicaid / KanCare $8 93%
Triwest Health Alliance $8 93%
Unicare $8 93%
Celtic $9 104%
Coventry $9 - $354 104%
Devoted Health $9 104%
Home State Health Plan $9 104%
Humana $9 - $572 104%
Pyramid Life $9 104%
UnitedHealthcare $9 - $880 104%
Wellcare $9 104%
Oscar $13 151%
Multiplan $16 - $651 186%
Corvel Corporation $18 - $572 209%
Oha Network $19 - $440 220%
Ambetter / Centene $26 - $164 302%
Nhc Advantage $27 - $167 313%
Wppa Providrs Care Network $28 - $176 325%
Universal Healthcare $49 - $308 568%
Coventry Kc Mo $57 - $361 661%
College Park Family Care Center $60 - $378 696%
Emerging Therapy Solutions $67 - $440 777%
Focus Healthcare Mgmt, Inc $105 - $660 1218%
Cco, Inc. $112 - $704 1299%
Evernorth Behavioral Health $112 - $704 1299%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2316 E Meyer Blvd, Kansas City, MO 64132
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals