CMS Price Transparency Data

Culture, bacterial

Facility: Garden County Health Services

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $136
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 15.78x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Garden County Health Services is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 15.78x the Medicare baseline. Located in 1100 West 2Nd St, Oshkosh, NE.
Cash / Self-Pay
$110

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $110 (1276%)
Insurance Median: $136 (1578%)
Cash: $110 (1276% of Medicare)
Ins. Median: $136 (1578% 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 1578% of the Medicare baseline (a markup of 1478%). 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
Nebraska Total Care $89 - $102 1032%
UnitedHealthcare $111 - $127 1288%
Medica $125 - $143 1450%
Blue Cross Blue Shield $128 - $146 1485%
Midlands Choice $143 - $163 1659%
Aetna $144 - $165 1671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 West 2Nd St, Oshkosh, NE 69154
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals