CMS Price Transparency Data

Culture, bacterial

Facility: Lafollette Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Lafollette Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$95

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: $95 (1102%)
Insurance Median: $9 (104%)
Cash: $95 (1102% 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
Amerigroup $4 46%
Medicaid / KanCare $4 - $9 46%
UnitedHealthcare $4 - $316 46%
Blue Cross Blue Shield $8 - $55 93%
Humana $8 - $9 93%
Medicare (plans) $8 93%
Node Bluecare Plus Tn Mcr Adv $8 93%
Node Champva $8 93%
Tricare $8 93%
Triwest $8 93%
Aetna $9 - $196 104%
Node Amerigroup Mcr Adv $9 104%
Node Blueadvantage Mcr Adv $9 104%
Node Devoted Health Mcr Adv $9 104%
Node Farm Bureau Mcr Adv $9 104%
Node Healthspring Mcr Adv $9 104%
Node Hospice Non Par Agree $9 104%
Node Nhc Mcr Adv $9 104%
Node Va $9 104%
Node Wellcare Mcr Adv $9 104%
Veterans Eval Services $9 104%
Wellcare $9 104%
Windsor Health Plan $9 104%
Node Us Dept Of Labor $11 128%
Cigna $13 151%
Novanet Work Comp Tn $13 151%
Tn Work Comp $13 151%
Ambetter / Centene $16 186%
Bluecare $18 - $21 209%
Node Point Comfort Underwriters $19 220%
Self Pay $91 1056%
Multiplan Complementary $240 2784%
Beech Street Work Comp Tn $1,280 14849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals