CMS Price Transparency Data

Culture, bacterial

Facility: Montefiore Mount Vernon Hospital

Billing Code: 87070 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9
about 1.0× the $9 Medicare rate · typically $8–$24
modeled estimate · not a bill or quote
What this hospital charges insurers
$9
About the fair price
1.0× Medicare
Medicare pays $9 Fair price $9 This hospital $9 Cash price $25 Hospital's list price $39

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $6 Priciest $9

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Culture, bacterial is about $9 (about 1.0× the $9 Medicare rate). Montefiore Mount Vernon Hospital charges insurers about $9, or about $25 in cash — about the fair price. Located in Mount Vernon, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $8 - $17 93%
Blue Cross Blue Shieldmajor $8 - $31 93%
Aetnamajor $38 - $43 441%
Cignamajor $84 - $93 974%
Humanamajor $9 104%
Fidelis Care $8 - $14 93%
MVP Health Care $17 197%
Oscar Health $12 139%
SelectHealth $9 104%
WellCare $6 - $8 70%
+ 12 smaller / regional plans $8 - $31
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals