CMS Price Transparency Data

Culture, bacterial

Facility: Bellevue Hospital Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $29
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 3.36x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Bellevue Hospital Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 3.36x the Medicare baseline. Located in 462 First Avenue, New York, NY.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

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: $9 (104%)
Insurance Median: $29 (336%)
Cash: $9 (104% of Medicare)
Ins. Median: $29 (336% 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 336% of the Medicare baseline (a markup of 236%). 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
Aetna $6 - $25 70%
Blue Cross Blue Shield $7 - $106 81%
Healthfirst $7 - $106 81%
Centerlight $9 - $11 104%
Centers Plan For Healthy Living $9 104%
Elderplan $9 104%
Fidelis $9 - $106 104%
Hamaspik $9 - $11 104%
Metroplus $9 - $106 104%
Oxford $9 - $13 104%
Wellcare $9 - $13 104%
Magnacare $10 116%
Villagecare Max $10 - $31 116%
Local 1199 $12 - $31 139%
Oscar $12 - $13 139%
United $13 - $59 151%
Affinity $15 - $106 174%
Cigna $21 244%
Carelon $23 - $47 267%
Emblem $25 - $64 290%
Multiplan $29 336%
Vnsny $31 - $48 360%
Amidacare $47 545%
Senior Whole Health $47 545%
United Behavioral Health $47 - $52 545%
Carelon (Amida Care) $48 557%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 462 First Avenue, New York, NY 10016
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals