CMS Price Transparency Data

Culture, bacterial

Facility: Maury Regional Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Maury Regional Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$68

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: $68 (789%)
Insurance Median: $9 (104%)
Cash: $68 (789% 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
UnitedHealthcare $5 - $9 58%
Wellpoint $5 - $9 58%
Blue Cross Blue Shield $6 - $36 70%
Humana $8 - $9 93%
Wellpoint Tci $8 93%
Aetna $9 - $130 104%
American Health Plans $9 104%
Cigna $9 - $77 104%
Farm Bureau Health Plans $9 104%
Medicare (plans) $9 104%
Nhc $9 104%
Wellcare Harmony Health $9 104%
Medrisk $13 151%
State Of Tennessee $13 151%
Ambetter / Centene $15 - $22 174%
Oscar $22 255%
Wayne County Jail $72 835%
Lawrence County Jail $109 1265%
Lewis County Jail $109 1265%
Marshall County Jail $109 1265%
Beech Street $116 1346%
Multiplan $116 1346%
Phcs $116 1346%
Firsthealth $139 1613%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals