CMS Price Transparency Data

Culture, bacterial

Facility: Jefferson Lansdale Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Jefferson Lansdale Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.
Cash / Self-Pay
$10

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $10 (116%)
Insurance Median: $9 (104%)
Cash: $10 (116% of Medicare)
Ins. Median: $9 (104% 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.

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 $6 - $9 70%
Medicare (plans) $6 - $10 70%
Jefferson Health Plan Aca Qhp Exchange $8 93%
Keystone First $8 93%
Aetna $9 - $22 104%
Allwell Pa Health_Wellness Ma $9 104%
Cigna $9 - $13 104%
Devoted Health Participation $9 104%
Humana $9 104%
Innovage $9 104%
Inspira Life $9 104%
Keystone First Vip Choice $9 104%
Medicaid / KanCare $9 - $12 104%
Pa Health_Wellness Chc $9 104%
Point Of Comfort Refugee Resettlement $9 104%
Provider Partners Health Plan $9 104%
St Agnes $9 104%
Tricare $9 104%
UnitedHealthcare $9 - $13 104%
Highmark Wholecare Gateway $10 116%
Perennial $10 116%
Ibc Employee Benefit $11 128%
Ibc Main Line Health $11 128%
Ambetter / Centene $12 139%
Upmc Commercial $13 151%
Naphcare $14 162%
Ibc $15 - $252 174%
Highmark $20 - $24 232%
Geisinger Health Plan $35 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Medical Campus Drive, Lansdale, PA 19446
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals