CMS Price Transparency Data

Culture, bacterial

Facility: Ochsner Medical Center-Hancock

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $13
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Ochsner Medical Center-Hancock is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.51x the Medicare baseline. Located in 149 Drinkwater Blvd, Bay Saint Louis, MS.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $49 (568%)
Insurance Median: $13 (151%)
Cash: $49 (568% of Medicare)
Ins. Median: $13 (151% 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
Humana $6 - $9 70%
Medicaid / KanCare $8 93%
Aetna $9 - $189 104%
Cigna $9 - $94 104%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $9 104%
Medicare (plans) $9 104%
Shared Health Mississippi $9 104%
UnitedHealthcare $9 104%
Mississippi Physicians Care Network $11 - $118 128%
Zelis $11 - $123 128%
Ambetter / Centene $14 162%
Blue Cross Blue Shield $14 - $18 162%
Claritev D/B/A Multiplan/Phcs/American Life Care $14 - $151 162%
Healthcomp & Personify Health (Formerly Gilsbar) $15 - $165 174%
Select Administrative Services Network $15 - $165 174%
Primewell Health Services Commercial Exchange Plan $24 278%
Primewell Health Services – Commercial $24 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 149 Drinkwater Blvd, Bay Saint Louis, MS 39520
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals