CMS Price Transparency Data

Culture, bacterial

Facility: Erlanger Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $12
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Erlanger Medical Center is $12. 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 1.39x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$95

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: $95 (1102%)
Insurance Median: $12 (139%)
Cash: $95 (1102% 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
Humana $2 - $16 23%
Amerigroup $4 - $15 46%
UnitedHealthcare $4 - $13 46%
Blue Cross Blue Shield $6 - $143 70%
Bluecard - Network P $6 - $24 70%
Bluecard - Network S $6 - $24 70%
Aetna $9 - $88 104%
Alexian $9 - $24 104%
American Health $9 104%
Atrio Health $9 - $22 104%
Bluecare $9 - $48 104%
Caresource $9 - $17 104%
Cigna $9 - $81 104%
Clover $9 104%
Devoted Health $9 - $18 104%
Nhc $9 104%
Upmc $9 104%
Wellpoint $9 104%
Ambetter / Centene $11 128%
Caresource Ga $12 - $22 139%
Caresource Nc $12 - $22 139%
Caresource Tn $12 - $22 139%
Pnoa $22 255%
Point Comfort Underwriters $22 255%
Pruitthealth Premier $26 302%
Olympus $98 - $134 1137%
Alliant $134 1555%
First Health $143 - $152 1659%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 E 3Rd St, Chattanooga, TN 37403
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals