CMS Price Transparency Data

Culture, bacterial

Facility: Hillcrest Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $436
Cash Discount Price: $230
vs. Medicare Baseline: 50.58x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Hillcrest Medical Center is $436. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 50.58x the Medicare baseline. Located in 1120 South Utica Avenue, Tulsa, OK.

Cash / Self-Pay

$230

Average discount available for prompt cash payment at this facility.

Insurance Median

$436

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: $230 (2668%)

Insurance Median: $436 (5058%)

Cash: $230 (2668% of Medicare)

Ins. Median: $436 (5058% 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 5058% of the Medicare baseline (a markup of 4958%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Black Lung [6055]	$192	2227%
Healthcare Highways [2210]	$192 - $296	2227%
Hooray Health [8000]	$192	2227%
Lucent Health [6000]	$192	2227%
Oncology Patient Assistance Programs [2295]	$192	2227%
Oscar Insurance Company [7005]	$192	2227%
Osma Health Network [2345]	$192	2227%
Healthscope Benefits [2290]	$244	2831%
UnitedHealthcare	$244	2831%
Resource One Administrators [2815]	$296	3434%
Web Tpa [2115]	$296	3434%
The Kempton Group Administrators [2905]	$345	4002%
National Association Of Letter Carriers [1695]	$398	4617%
Pba [1775]	$398	4617%
Medica [2910]	$436	5058%
Multiplan [1680]	$436 - $660	5058%
Employee Benefit Management Services [2445]	$560	6497%
Phcs [1780]	$560 - $660	6497%
Administrative Concepts [1005]	$660	7657%
Allied Benefit Systems Inc [1030]	$660	7657%
Allied National Global Care [1035]	$660	7657%
Healthcost Solutions [2415]	$660	7657%
Healthfirst [2395]	$660	7657%
Hometown Health [2155]	$660	7657%
Mayo Clinic Health Solutions [2280]	$660	7657%
Mutual Of Omaha [1685]	$660	7657%
New Era Life Insurance Company [1705]	$660	7657%
Pan American Life Insurance Co [1770]	$660	7657%
Planned Administrators Inc [2360]	$660	7657%
Trustmark [2030]	$660	7657%
Universal Fidelity [2085]	$660	7657%
Pending Ssi [1616]	$767	8898%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $230.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87070.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hillcrest Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87070.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.