CMS Price Transparency Data

Culture, bacterial

Facility: Bella Vista Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $12
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Bella Vista Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.39x the Medicare baseline. Located in Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $40 (464%)
Insurance Median: $12 (139%)
Cash: $40 (464% of Medicare)
Ins. Median: $12 (139% 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
First Medical Vital $8 93%
Plan Salud Menonita Vital $8 93%
Champva $9 104%
Medicare (plans) $9 104%
Preferred Medical Choice(Pmc) $9 - $12 104%
Tricare $9 104%
Triple S Advantage $9 104%
UnitedHealthcare $9 104%
Fondo Del Seguro Del Estado $11 128%
Acaa $13 151%
Triple S Vital $13 151%
Mcs $17 197%
Asociacion Maestros (Prossam) $18 209%
Plan Salud Menonita $20 232%
Servicios De Salud Bella Vista $20 232%
International Medical Card $21 244%
Triple S $21 244%
Mapfre Life Insurance Life Insurance $30 348%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals