CMS Price Transparency Data

Culture, bacterial

Facility: Carepartners Rehabilitation Hospital, Lllp

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $128
  • Cash Discount Price: $316
  • vs. Medicare Baseline: 14.85x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Carepartners Rehabilitation Hospital, Lllp is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 14.85x the Medicare baseline. Located in 68 Sweeten Creek Rd, Asheville, NC.
Cash / Self-Pay
$316

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $316 (3666%)
Insurance Median: $128 (1485%)
Cash: $316 (3666% of Medicare)
Ins. Median: $128 (1485% 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 1485% of the Medicare baseline (a markup of 1385%). 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
Aetna $9 - $207 104%
Alignment Health $9 104%
Cigna $9 104%
Devoted Health $9 104%
Healthteam Advantage $9 104%
Humana $9 104%
Provider Partners Health Plan $9 104%
Troy Healthcare $9 104%
United $9 - $188 104%
Wellcare $9 - $191 104%
Amerihealth Caritas $10 116%
Longevity Health Plan $10 116%
Amerihealth $11 128%
Ambetter / Centene $16 186%
Apex Health $63 731%
Blue Cross Blue Shield $128 - $185 1485%
Oscar $171 1984%
Caresource $189 2193%
Medcost $226 2622%
Multiplan $259 3005%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 68 Sweeten Creek Rd, Asheville, NC 28803
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL