CMS Price Transparency Data

Culture, bacterial

Facility: Montefiore St Luke's Cornwall

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $13
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Montefiore St Luke's Cornwall is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.51x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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%)
Insurance Median: $13 (151%)
Ins. Median: $13 (151% 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
Fidelis $7 - $10 81%
Aetna $8 - $13 93%
Blue Cross Blue Shield $8 - $224 93%
Cdphp $8 93%
Centerlight $8 93%
Emblem $8 - $227 93%
Hudson Valley $8 93%
Mediblue $8 93%
Medicaid / KanCare $8 93%
Oscar $8 93%
Point Comfort $8 93%
UnitedHealthcare $8 - $10 93%
Humana $9 104%
American Postal Workers $10 116%
Mvp $12 139%
Geha $13 151%
Meritain Health $13 151%
Nippon Life Insurance $13 151%
Northwell $22 255%
Healthfirst $25 290%
Cigna $84 - $93 974%
Centivo $179 2077%
Seiu1199 $213 2471%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals