CMS Price Transparency Data

Culture, bacterial

Facility: Caromont Regional Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $14
  • Cash Discount Price: $200
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Caromont Regional Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.62x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$200

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $200 (2320%)
Insurance Median: $14 (162%)
Cash: $200 (2320% of Medicare)
Ins. Median: $14 (162% 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
UnitedHealthcare $5 - $26 58%
Humana $6 - $176 70%
Avalon $8 93%
Absolute Total Care $9 104%
Aetna $9 - $74 104%
Blue Cross Blue Shield $9 - $66 104%
Corporate Benefits Service $9 104%
Devoted Health $9 104%
Healthteam $9 104%
Longevity Health $9 104%
Molina $9 104%
Alliance Behavioral Health $14 162%
Amerihealth Caritas $14 162%
Carolina Complete Health $14 162%
Carolina Complete Health Tailored Plans $14 162%
Partners Behavioral Health $14 162%
Vaya Behavioral Health $14 162%
Wellcare $14 162%
Surgery Plus $15 174%
Cigna $16 - $26 186%
Carolina Caring $22 - $158 255%
Gaston County Jail $28 325%
Medcost $76 882%
Beech Street $164 1903%
Multiplan $164 1903%
Self Pay $180 2088%
First Health Network $190 2204%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals