CMS Price Transparency Data

Culture, bacterial

Facility: Curry General Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $145
Cash Discount Price: $153
vs. Medicare Baseline: 16.82x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Curry General Hospital is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 16.82x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$153

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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: $153 (1775%)

Insurance Median: $145 (1682%)

Cash: $153 (1775% of Medicare)

Ins. Median: $145 (1682% 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 1682% of the Medicare baseline (a markup of 1582%). 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
Medicaid / KanCare	$7 - $96	81%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$9	104%
Blue Cross Blue Shield	$10 - $153	116%
Tricare	$48	557%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$66	766%
Medicare (plans)	$66 - $99	766%
Department Of Corrections [1051]	$99	1148%
Coordinated Care Commercial [1649]	$130	1508%
Pacificsource [1148]	$130	1508%
Moda [512]	$131 - $138	1520%
Multiplan [1131]	$139	1613%
Asuris [1258]	$145	1682%
First Choice Health Admin [1294]	$145	1682%
First Choice [528]	$145	1682%
Operating Engineers [1144]	$145	1682%
Regence [1351]	$145 - $153	1682%
Cigna	$150 - $153	1740%
Coventry First Health Managed Care [1774]	$150	1740%
Coventry Health [1046]	$150	1740%
Providence Health Plan Plm Alt [1692]	$150	1740%
Providence Health Plan [567]	$150	1740%
Aetna	$153	1775%
Employee Bene Admin Mgmt [525]	$153	1775%
Geha [531]	$153	1775%
Mailhandlers Benefit Pln [547]	$153	1775%
Meritain [550]	$153	1775%
Nw Sheet Metal Workers [597]	$153	1775%
Trustmark [524]	$153	1775%
UnitedHealthcare	$153	1775%
Zenith Administrators [586]	$153	1775%
Allcare Alt [2598]	$300	3480%
Allcare [1695]	$300	3480%

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 $153.
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 Curry General 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.