CMS Price Transparency Data

Culture, bacterial

Facility: F F Thompson Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $8
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at F F Thompson Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 0.93x the Medicare baseline. Located in 350 Parrish Street, Canandaigua, NY.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $27 (313%)
Insurance Median: $8 (93%)
Cash: $27 (313% of Medicare)
Ins. Median: $8 (93% 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 $4 - $9 46%
Blue Cross Blue Shield $6 - $10 70%
Cigna $6 - $8 70%
Medicaid / KanCare $6 - $19 70%
Medicare (plans) $6 - $9 70%
Mvp 2900 $6 - $8 70%
Fidelis 5155 $8 93%
Aetna $9 104%
Capital District Physicians Health Plan (Cdphp) 5149 $9 104%
Elderplan 1316 $9 104%
Excellus 2201 $9 104%
Humana $9 104%
Independent Health 5156 $9 104%
Molina Healthcare 1723 $10 - $19 116%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Parrish Street, Canandaigua, NY 14424
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals