CMS Price Transparency Data

Culture, bacterial

Facility: Okeene Municipal Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $38
Cash Discount Price: $49
vs. Medicare Baseline: 4.41x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Okeene Municipal Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 4.41x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$49

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

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: $49 (568%)

Insurance Median: $38 (441%)

Cash: $49 (568% of Medicare)

Ins. Median: $38 (441% 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 441% of the Medicare baseline (a markup of 341%). 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
Pref Community Choice Ppo-All Plans	$6 - $10	70%
Blue Cross Blue Shield	$17 - $37	197%
Coventry Mcr Adv	$25 - $37	290%
Global Health Mcr Adv	$25 - $37	290%
Humana	$25 - $65	290%
Medicare (plans)	$25 - $37	290%
UnitedHealthcare	$25 - $46	290%
Cigna	$26 - $40	302%
Ihs-All Plans	$28 - $42	325%
Aetna	$30 - $65	348%
Healthchoice Ip Only-All Plans	$30 - $46	348%
Ok Complete Health Comm-All Other Plans	$30 - $45	348%
Global Health-All Other Plans	$32 - $48	371%
Healthcare Highways-All Plans	$32 - $49	371%
Phcs Savility/Multiplan - All Plans	$32 - $49	371%
Medica Commercial-All Other Plans	$33 - $50	383%
Community Care Hmo-All Plans	$39 - $58	452%
Ok Complete Health Mcaid	$43 - $65	499%

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 $49.
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 Okeene Municipal Hospital 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.