CMS Price Transparency Data

Culture, bacterial

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $16
Cash Discount Price: $37
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Ochsner Stennis Memorial Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.86x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$16

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: $37 (429%)

Insurance Median: $16 (186%)

Cash: $37 (429% of Medicare)

Ins. Median: $16 (186% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $92	46%
Humana	$7 - $109	81%
Medicaid / KanCare	$8 - $9	93%
Cigna	$9 - $109	104%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$9 - $110	104%
Medicare (plans)	$9 - $125	104%
Primewell Health Services Commercial Exchange Plan	$9 - $121	104%
Primewell Health Services – Commercial	$9 - $121	104%
Shared Health Mississippi	$9 - $114	104%
Prime Health Services Ppo	$10 - $145	116%
Ambetter / Centene	$11 - $110	128%
Aetna	$12 - $118	139%
Select Administrative Services Network	$13 - $127	151%
Blue Cross Blue Shield	$14 - $18	162%
Claritev D/B/A Multiplan/Phcs/American Life Care	$14 - $136	162%
Zelis	$14 - $136	162%
Cor Vel	$15	174%
Prime Health Services Ppo -Workers Comp	$15	174%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $37.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87070.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Stennis Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87070.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.