CMS Price Transparency Data

Culture, bacterial

Facility: Coshocton Regional Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $13
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Coshocton Regional Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.51x the Medicare baseline. Located in 1460 Orange Street, Coshocton, OH.
Cash / Self-Pay
$8

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%)
Cash / Self-Pay: $8 (93%)
Insurance Median: $13 (151%)
Cash: $8 (93% of Medicare)
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
Blue Cross Blue Shield $9 - $23 104%
Buckeye Community Health Plan $9 - $22 104%
Care Source $9 - $22 104%
Devoted Health $9 104%
Med Mutual Of Oh $9 104%
Medicare (plans) $9 104%
Molina $9 - $22 104%
Perennial Advantage $9 104%
The Health Plan $9 104%
Tricare $9 104%
UnitedHealthcare $9 - $23 104%
Valor Health Plan $9 104%
Employer Direct Healthcare $12 139%
Americas Choice Provider Network $13 151%
Corvel $13 151%
Healthsmart $13 151%
Multiplan $13 151%
Provider Network Of America $13 151%
Provider Select $13 151%
Three Rivers $13 151%
Workers Compensation $13 151%
Medicaid / KanCare $22 255%
Standard Eapg Logic $22 255%
Amerihealth Caritas $23 267%
Paramount $23 267%
Quality Care Partner $23 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1460 Orange Street, Coshocton, OH 43812
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals