CMS Price Transparency Data

Culture, bacterial

Facility: Merit Health River Region

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $132
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Merit Health River Region is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$132

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: $132 (1531%)
Insurance Median: $9 (104%)
Cash: $132 (1531% 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
Caresource Truecare $8 93%
Department Of Veterans Affairs $8 93%
First Choice $8 - $412 93%
Magnolia $8 93%
Magnolia Mcd Chip $8 93%
Medicaid / KanCare $8 - $9 93%
Medicare (plans) $8 93%
Molina Chip $8 93%
Node Magnolia Mcr Adv $8 93%
Node Vantage Mcr Adv $8 93%
Tricare $8 93%
UnitedHealthcare $8 - $75 93%
Aetna $9 - $21 104%
Humana $9 104%
Node Devoted Health Mcr Adv $9 104%
Node First Choice American Health Of Ms Mcr Adv $9 104%
Node First Choice Wellcare Mcr Adv $9 104%
Node Healthy Mississippi Mcr Adv $9 104%
Node Hospice Non Par Agree $9 104%
Node Molina Mcr Adv $9 104%
Node Peoples Health Mcr Adv $9 104%
Node Va $9 104%
Node Windsor Mcr Adv $9 104%
Veterans Eval Services $9 104%
Node Us Dept Of Labor $11 128%
Advanced Health Systems $14 162%
Magnolia Exchange $15 174%
Molina Exchange $15 174%
Node Seven Corners $15 174%
Ms Work Comp $16 186%
Blue Cross Blue Shield $18 209%
Vantage Commercial $19 220%
Self Pay $99 - $165 1148%
Medpartners $110 1276%
Trimed Billing Solutions $165 1914%
Cigna $227 - $385 2633%
First Choice Mpcn Standard $302 3503%
Phcs $330 3828%
Ms Health Partners $412 4780%
Ms Dept Of Rehabilitation Services $550 6381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals