CMS Price Transparency Data

Culture, bacterial

Facility: Crossgates River Oaks Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Crossgates River Oaks Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$4

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: $4 (46%)
Insurance Median: $9 (104%)
Cash: $4 (46% 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
Cigna $2 - $559 23%
Self Pay $2 - $224 23%
UnitedHealthcare $2 - $232 23%
Ms State Hospital Of Whitfield $3 - $304 35%
Trimed Billing Solutions $3 - $240 35%
First Choice Coventry $4 - $415 46%
First Choice Standard $4 - $368 46%
First Choice Mpcn Standard $5 - $439 58%
First Choice Ppo Plus $5 - $439 58%
Phcs $5 - $479 58%
Aetna $6 - $500 70%
Benefit Management Systems $6 - $679 70%
American Health Group $7 - $679 81%
Beech Street $7 - $679 81%
First Choice Stratose $7 - $639 81%
Ibew $7 - $679 81%
Prime Health Services $7 - $639 81%
Tricare $7 - $8 81%
Caresource Truecare $8 93%
Humana $8 93%
Magnolia Mcd Chip $8 93%
Medicaid / KanCare $8 - $9 93%
Medicare (plans) $8 93%
Molina Chip $8 93%
Node Champva $8 93%
Node First Choice Shared Health Of Ms Mcr Adv $8 93%
Node Vantage Health Mcr Adv $8 93%
Node Windsor Mcr Adv $8 93%
One Health Plan $8 - $719 93%
Advanced Health Systems $9 - $14 104%
Blue Cross Blue Shield $9 - $18 104%
First Choice Lgp $9 - $19 104%
Molina $9 104%
Molina Exchange $9 - $15 104%
Ms Dept Of Rehabilitation Services $9 - $799 104%
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 Magnolia Mcr Adv $9 104%
Node Va $9 104%
Veterans Eval Services $9 104%
Node Us Dept Of Labor $11 128%
First Choice Preferred $13 151%
Node First Choice Occunet $13 151%
Node Magnolia Exchange $15 174%
Ms Work Comp $16 186%
Prime Health Wc $16 186%
Vantage Health Commercial $19 220%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals