CMS Price Transparency Data

Culture, bacterial

Facility: Mid-Columbia Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $64
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 7.42x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Mid-Columbia Medical Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 7.42x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

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: $60 (696%)
Insurance Median: $64 (742%)
Cash: $60 (696% of Medicare)
Ins. Median: $64 (742% 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 742% of the Medicare baseline (a markup of 642%). 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 $9 - $395 104%
Community Hp Mcr Adv - All Plans $9 104%
Healthnet Mcr Adv $9 104%
Humana $9 104%
Moda Mcr Adv $9 104%
Molina - All Other Plans $9 104%
Molina Mcr Adv $9 104%
Tricare $9 104%
Va Ccn Triwest - All Plans $9 104%
Pacific Source - All Plans $11 128%
Employee Health Plan - All Plans $16 186%
Norocor - All Plans $62 719%
Amerigroup Mcaid - All Plans $64 742%
Coordinated Care Mcaid - All Plans $64 742%
Molina Mcaid $64 742%
UnitedHealthcare $64 - $118 742%
Moda Health Plan - All Other Plans $82 951%
Healthscape - All Plans $99 1148%
First Health - All Plans $110 1276%
Coventry - All Plans $112 1299%
Aetna $114 1323%
Cigna $117 1357%
First Choice - All Plans $118 1369%
Multiplan/Phcs - All Plans $118 1369%
Providence Ppo - All Plans $118 1369%
Trpn - Three Rivers - All Plans $118 1369%
Ahp - Americas Hlth Plan - All Plans $120 1392%
Devoted Mcr Adv - All Plans $134 1555%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals