CMS Price Transparency Data

Culture, bacterial

Facility: Parkland Health Center - Bonne Terre

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $112
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 12.99x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Parkland Health Center - Bonne Terre is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 12.99x the Medicare baseline. Located in 7245 Raider Road, Bonne Terre, MO.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $104 (1206%)
Insurance Median: $112 (1299%)
Cash: $104 (1206% of Medicare)
Ins. Median: $112 (1299% 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 1299% of the Medicare baseline (a markup of 1199%). 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
Aetna $9 - $130 104%
Blue Cross Blue Shield $9 - $152 104%
Cigna $9 - $138 104%
Cox Health [757] $9 104%
Devoted Health Plan [847] $9 104%
Essence Healthcare [221] $9 104%
Humana $9 - $115 104%
Medica [662] $9 104%
Medicare (plans) $9 104%
UnitedHealthcare $9 - $129 104%
Healthscope Benefits [258] $10 - $112 116%
Consociate [478] $14 162%
Sarah Bush Lincoln [636] $14 162%
Mercy Behavioral Health [573] $43 499%
Healthlink [225] $84 - $131 974%
Cox Health Systems Insurance Company [220] $95 - $112 1102%
Health Alliance [224] $95 1102%
Allied Benefits [498] $100 - $129 1160%
Hope Trust [806] $100 1160%
Coresource [497] $104 1206%
Fmh Benefit Service Inc [222] $104 1206%
Mail Handlers [495] $104 1206%
Med-Pay [480] $112 - $130 1299%
Unicare [568] $112 - $131 1299%
Apwu Health Plan [216] $121 1404%
Nalc Health Benefit Plan [242] $121 1404%
Priority Health [648] $121 1404%
First Health Commercial [734] $129 1497%
Beechstreet [551] $130 1508%
Detego Health [868] $130 1508%
Health Systems Inc [620] $130 1508%
Healthcare Sol Mercy [609] $130 1508%
Multiplan Commercial [737] $130 1508%
Multiplan [240] $130 1508%
Phcs [244] $130 - $138 1508%
Preferred Health Professionals [561] $131 1520%
Hfn [563] $138 1601%
Medica [661] $138 1601%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7245 Raider Road, Bonne Terre, MO 63628
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital