CMS Price Transparency Data

Culture, bacterial

Facility: Neshoba County General Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $12
  • Cash Discount Price: $14
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Neshoba County General Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.39x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$14

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: $14 (162%)
Insurance Median: $12 (139%)
Cash: $14 (162% 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
Magnolia Mcaid $8 93%
Molina Mcaid $8 93%
Mpcn Mcaid $8 93%
Tricare $8 93%
UnitedHealthcare $8 - $11 93%
Aetna $9 - $11 104%
Humana $9 104%
Magnolia Mcr Adv-All Other Plans $9 104%
Molina Comm-All Other Plans $9 104%
Molina Mcr Adv $9 104%
Wellcare Mcr Adv-All Plans $9 104%
First Choice Comm Ip/Op Only - All Plans $11 128%
Cigna $12 - $14 139%
Ahs Ip/Op Only-All Plans $14 - $16 162%
Blue Cross Blue Shield $14 - $18 162%
Affordable Health Care-All Plans $15 - $19 174%
Health Choice Ip/Op Only-All Plans $15 - $19 174%
Health Link Ip/Op Only-All Plans $15 - $19 174%
Geha-All Plans $16 - $20 186%
Multiplan-All Plans $16 - $20 186%
Mpcn Ip/Op Only-All Other Plans $22 - $28 255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL