CMS Price Transparency Data

Culture, bacterial

Facility: University Hospitals Conneaut Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $108
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 12.53x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at University Hospitals Conneaut Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 12.53x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $146 (1694%)
Insurance Median: $108 (1253%)
Cash: $146 (1694% of Medicare)
Ins. Median: $108 (1253% 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 1253% of the Medicare baseline (a markup of 1153%). 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 $10 - $184 116%
University Health Employee Plan (Contigo) $12 139%
Aetna $21 - $107 244%
UnitedHealthcare $58 - $60 673%
Cigna $60 - $143 696%
Devoted $60 696%
Humana $60 696%
Medical Mutual Of Ohio $60 - $183 696%
Molina $60 696%
Primetime Health Plan $60 696%
Summacare $60 - $99 696%
The Health Plan $60 - $128 696%
Wellcare By Allwell $60 696%
Paramount $62 719%
Perennial Advantage Of Ohio $63 731%
Valor Health Plans $63 731%
Amish Aid Community Plan $89 1032%
Amish Church Fund And Workers Aid Plan $89 1032%
Buckeye Plain Ministries $89 1032%
Jp Farley $91 1056%
Clarity $93 1079%
Christian Healthcare Ministries $97 1125%
Immergrun $97 1125%
Sunrise Plan Communities $97 1125%
Aultcare $107 1241%
Ambetter / Centene $108 1253%
Caresource $108 1253%
Healthsmart $126 1462%
Ohio Health Choice $126 - $175 1462%
Medical Mutual Traditional/Health Ohio $136 1578%
Beech Street $155 - $175 1798%
Ohio Preferred Network $155 - $175 1798%
First Health $161 1868%
Century Health Network $165 1914%
Private Healthcare System $167 1937%
Configurenet $175 2030%
Fortified Provider Network $175 2030%
Multiplan $175 2030%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals