CMS Price Transparency Data

Culture, bacterial

Facility: Flushing Hospital Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Flushing Hospital Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $26 (302%)
Insurance Median: $9 (104%)
Cash: $26 (302% of Medicare)
Ins. Median: $9 (104% 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
Ghi $4 - $9 46%
Healthfirst $7 81%
Elderplan $8 93%
Fidelis $8 - $9 93%
UnitedHealthcare $8 - $12 93%
Aetna $9 104%
Beacon Health Strategies $9 104%
Centerlight Healthcare $9 104%
Centers Plan For Healthy Living $9 104%
Empire $9 - $16 104%
Hip $9 - $13 104%
Humana $9 104%
Metroplus $9 104%
Oscar $9 104%
Senior Whole Health $9 104%
Villagecaremax $9 104%
Vns $9 104%
Wellcare Of Ny $9 104%
Elderserve Health $10 116%
Hamaspik Choice $10 116%
Magnacare $10 116%
Centivo $11 128%
1199 National Benefit Fund $12 139%
Emblemhealth $13 151%
Empire Blue Priority $14 162%
Cigna $15 174%
Hotel Trades Council $1,912 22181%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 45Th Avenue and Parsons Boulevard, Flushing, NY 11355
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals