CMS Price Transparency Data

Culture, bacterial

Facility: Christ Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $72
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 8.35x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Christ Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 8.35x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$72

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: $83 (963%)
Insurance Median: $72 (835%)
Cash: $83 (963% of Medicare)
Ins. Median: $72 (835% 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 835% of the Medicare baseline (a markup of 735%). 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 - $124 46%
Aetna $9 - $116 104%
Buckeye Mycare Dual [2171] $9 104%
Caresource [2031] $9 - $124 104%
Cigna $9 - $193 104%
Geha [2168] $9 104%
Golden Rule [2161] $9 104%
Humana $9 - $124 104%
Kentucky Passport/Molina [2097] $9 104%
Medben [2222] $9 104%
Medicaid / KanCare $9 - $116 104%
Medicare (plans) $9 104%
Medigold Ppo [2204] $9 104%
Meridian [2185] $9 104%
Perennial [4200] $9 104%
United Medical Resources [2104] $9 104%
UnitedHealthcare $9 - $193 104%
Wellcare Of Kentucky [2191] $9 104%
Ambetter / Centene $11 128%
Other Exchange Plan [9992] $11 - $193 128%
Allied Benefits [2163] $14 162%
First Health [2041] $14 162%
Medical Mutual [2054] $14 162%
Meritain Health [2224] $14 162%
Western And Southern [2076] $14 162%
Custom Design Benefits - True Cost [3004] $18 209%
Poppins Health [2299] $21 244%
Ohio Health Choice [2062] $60 - $93 696%
Nalc [2178] $66 - $103 766%
Priority Health [2225] $66 - $103 766%
Life Synch [2080] $74 - $116 858%
Multiplan/Phcs [2059] $91 - $141 1056%
Bccp [3079] $124 - $193 1439%
Buckeye Community Health [2028] $124 1439%
Healthcare Highways [2298] $124 - $193 1439%
Sagamore Health Network [2066] $124 - $193 1439%
Suburban Health [2408] $124 - $193 1439%
Amerihealth Caritas [2230] $129 1497%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2139 Auburn Avenue, Cincinnati, OH 45219
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals