CMS Price Transparency Data

Culture, bacterial

Facility: Frye Regional Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $16
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Frye Regional Medical Center is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.86x the Medicare baseline. Located in 420 N Center St, Hickory, NC.
Cash / Self-Pay
$199

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: $199 (2309%)
Insurance Median: $16 (186%)
Cash: $199 (2309% 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.

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 $8 - $341 93%
Aetna $9 104%
Cigna $9 104%
Humana $9 104%
Ambetter / Centene $10 116%
Amerihealth Caritas North Carolina $16 186%
Blue Cross Blue Shield $16 - $33 186%
Carolina Complete Health Inc. $16 186%
Partners Health Management $16 186%
Wellcare Of North Carolina, Inc $16 186%
Rhf Investments $91 1056%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals