Culture, bacterial
Facility: Jefferson Abington Hospital
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $9
- Cash Discount Price: $10
- vs. Medicare Baseline: 1.04x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Abington Pro Ibc | $6 | 70% |
| Blue Cross Blue Shield | $6 - $9 | 70% |
| Medicare (plans) | $6 - $12 | 70% |
| Jup Health Partners Chip | $8 | 93% |
| Jup Highmark | $8 | 93% |
| Keystone First | $8 | 93% |
| Medicaid / KanCare | $8 - $14 | 93% |
| Abington Pro Keystone First Vip | $9 | 104% |
| Aetna | $9 - $21 | 104% |
| Allwell Pa Health_Wellness Ma | $9 | 104% |
| Cigna | $9 - $13 | 104% |
| Devoted Health Participation | $9 | 104% |
| Humana | $9 | 104% |
| Innovage | $9 | 104% |
| Innovage Pro | $9 | 104% |
| Inspira Life | $9 | 104% |
| Inspira Life Pro | $9 | 104% |
| Jefferson Health Plan Aca Exchange | $9 | 104% |
| Jup Pa Health_Wellness | $9 | 104% |
| Keystone First Vip Choice | $9 | 104% |
| Pa Health_Wellness Chc | $9 | 104% |
| Point Of Comfort Refugee Resettlement | $9 | 104% |
| Pro Provider Partners Pphp | $9 | 104% |
| Provider Partners Health Plan | $9 | 104% |
| St Agnes | $9 | 104% |
| Tricare | $9 | 104% |
| UnitedHealthcare | $9 - $13 | 104% |
| Highmark Wholecare Gateway | $10 | 116% |
| Highmark Wholecare Gateway Pro | $10 | 116% |
| Perennial | $10 | 116% |
| Perennial Pro | $10 | 116% |
| Ibc Employee Benefit | $11 | 128% |
| Ambetter / Centene | $12 | 139% |
| Ibc | $12 - $29 | 139% |
| Pro Naphcare | $12 | 139% |
| Upmc Commercial | $13 | 151% |
| Naphcare | $14 | 162% |
| Jup Geisinger Commercial | $22 | 255% |
| Highmark | $25 | 290% |
| Geisinger Health Plan | $35 | 406% |