CMS Price Transparency Data

Culture, bacterial

Facility: Montefiore New Rochelle Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $8
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Montefiore New Rochelle Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 0.93x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$22

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: $22 (255%)
Insurance Median: $8 (93%)
Cash: $22 (255% 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
Centerlight $8 93%
Emblem $8 - $27 93%
Empire $8 - $27 93%
Fidelis $8 - $10 93%
Healthfirst $8 93%
Medicaid / KanCare $8 93%
Metroplus $8 - $15 93%
Molina Healthcare Of Ny Affinity $8 - $18 93%
Mvp $8 - $17 93%
UnitedHealthcare $8 - $17 93%
Villagecaremax $8 93%
Vnsny Choice $8 - $9 93%
Wellcare $8 93%
Amidacare $9 104%
Hamaspik $9 104%
Humana $9 104%
Partners_Health_Plan $9 104%
Vnsny Select Health $9 104%
Oscar $12 139%
Centivo $21 244%
Aetna $38 - $43 441%
Cigna $82 951%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals