CMS Price Transparency Data

Culture, bacterial

Facility: Stillwater Billings Clinic

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $43
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 4.99x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Stillwater Billings Clinic is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 4.99x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $46 (534%)
Insurance Median: $43 (499%)
Cash: $46 (534% of Medicare)
Ins. Median: $43 (499% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 499% of the Medicare baseline (a markup of 399%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $12 - $119 139%
Humana $12 - $86 139%
Pacific Source Mcr Advantage $12 - $85 139%
Pacific Steel Direct - All Plans $12 - $88 139%
Tricare $12 - $85 139%
Pacific Source Billings Clinic $13 - $94 151%
Allied Core Value $15 - $109 174%
Rci Wyoben $15 - $112 174%
Wyo-Ben Inc- All Plans $15 - $112 174%
Aetna $16 - $121 186%
All Savers-All Plans $16 - $119 186%
Allegiance Direct Ppo - All Other Plans $16 - $119 186%
Blackhawk - All Plans $16 - $119 186%
Boon Chapman First Choice Health $16 - $121 186%
Cigna $16 - $119 186%
Ebms First Choice Health $16 - $121 186%
Ebms Interwest $16 - $119 186%
Ebms Town Pump $16 - $119 186%
First Choice- All Plans $16 - $121 186%
Gpa Interwest- All Plans $16 - $119 186%
Interwest Health-All Plans $16 - $119 186%
Mountain Health Coop - All Plans $16 - $115 186%
Mtada- All Plans $16 - $119 186%
Murdoch Oil - All Plans $16 - $121 186%
Pacific Source Voyager - All Other Plans $16 - $119 186%
Pacificsource Nav $16 - $119 186%
Prodegi (Y-Tex Corp)- All Plans $16 - $119 186%
Rci First Choice Health - All Other Plans $16 - $121 186%
Rci Interwest $16 - $119 186%
Ryegate Public Schools - All Plans $16 - $121 186%
Savatree - All Plans $16 - $121 186%
Tabs - All Plans $16 - $121 186%
Town Pump Inc- All Plans $16 - $119 186%
Trustmark First Choice Health $16 - $121 186%
UnitedHealthcare $16 - $119 186%
Zenith First Choice Health- All Plans $16 - $121 186%
Allegiance State Of Mt $24 - $175 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals