CMS Price Transparency Data

Culture, bacterial

Facility: Poplar Bluff Regional Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Poplar Bluff Regional Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$126

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: $126 (1462%)
Insurance Median: $9 (104%)
Cash: $126 (1462% 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 Cross Blue Shield $2 - $309 23%
Medicaid / KanCare $2 - $238 23%
Self Pay $2 - $286 23%
Access Health Services, Llc $5 - $679 58%
Cigna $5 - $953 58%
Evolutions Healthcare $5 - $649 58%
Healthlink $5 - $745 58%
Parker Hannifin $5 - $834 58%
Tyson Foods $5 - $655 58%
UnitedHealthcare $5 - $641 58%
Blue Traditional $6 - $920 70%
First Health $6 - $775 70%
Coventry Wc $7 - $953 81%
Municipal Health $7 - $953 81%
Tricare $7 - $8 81%
Compresults Wc $8 - $1,073 93%
Medicare (plans) $8 93%
Multiplan $8 - $1,037 93%
Node Champva $8 93%
Node United Behavioral Health Mcr Adv $8 93%
Phcs $8 - $1,037 93%
Blue Access $9 104%
Centurion Correctional $9 - $11 104%
Humana $9 104%
Node Ahs Mcr Adv $9 104%
Node Devoted Health Mcr Adv $9 104%
Node Hospice Non Par Agree $9 104%
Node Va $9 104%
Veterans Eval Services $9 104%
Node Pphp Mcr Adv $10 116%
Us Department Of Labor $11 128%
Naphcare $16 186%
Home State Exchange $22 255%
W W Wood $22 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals