CMS Price Transparency Data

Culture, bacterial

Facility: Ochsner Rush Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $12
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Ochsner Rush Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.39x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $17 (197%)
Insurance Median: $12 (139%)
Cash: $17 (197% of Medicare)
Ins. Median: $12 (139% 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
UnitedHealthcare $4 - $11 46%
Humana $7 - $9 81%
Medicaid / KanCare $8 - $9 93%
Cigna $9 - $17 104%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $9 104%
Medicare (plans) $9 - $10 104%
Primewell Health Services Commercial Exchange Plan $9 - $24 104%
Primewell Health Services – Commercial $9 - $24 104%
Shared Health Mississippi $9 104%
Prime Health Services Ppo $10 - $126 116%
Aetna $12 - $102 139%
Ambetter / Centene $12 139%
Select Administrative Services Network $13 - $110 151%
Blue Cross Blue Shield $14 - $18 162%
Claritev D/B/A Multiplan/Phcs/American Life Care $14 - $118 162%
Zelis $14 - $20 162%
Cor Vel $15 174%
Prime Health Services Ppo -Workers Comp $15 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1314 19Th Ave, Meridian, MS 39301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals