CMS Price Transparency Data

Culture, bacterial

Facility: Wood County Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $60
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 6.96x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Wood County Hospital is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 6.96x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $73 (847%)
Insurance Median: $60 (696%)
Cash: $73 (847% of Medicare)
Ins. Median: $60 (696% 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 696% of the Medicare baseline (a markup of 596%). 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
Blue Cross Blue Shield $4 - $57 46%
Aetna $9 - $60 104%
Buckeye $9 - $15 104%
Caresource $9 - $10 104%
Humana $9 - $67 104%
Medicare (plans) $9 104%
Medigold $9 104%
Mmo $9 - $65 104%
Paramount $9 - $58 104%
Perennial $9 104%
Summacare $9 104%
United_Healthcare $9 - $65 104%
Valor $9 104%
Frontpath $58 673%
Advanced_Medical_Pricing $60 696%
Cigna $60 696%
Medben $60 696%
Occunet $60 696%
Ohio_Health_Choice $62 - $67 719%
Claimdoc $64 742%
First_Health $66 766%
Health_Ohio_Network $66 766%
Healthscope_Benefits $68 789%
Primary_Health_Services_Dca $68 789%
Beech_Street $69 800%
Flora $69 800%
Multiplan $69 800%
Npn_Medical_Resources $69 800%
Ohio_Preferred_Provider_Network $69 800%
Private_Healthcare_Systems $69 800%
Three_Rivers_Provider_Network $69 800%
Unicare $69 800%
Ohio_Health_Group $71 824%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 950 West Wooster Street, Bowling Green, OH 43402
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals