CMS Price Transparency Data
Culture, bacterial
Facility: Baptist Memorial Hospital Tipton
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $16
- Cash Discount Price: $143
- vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Baptist Memorial Hospital Tipton is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.86x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$143
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $143 (1659%)
Insurance Median: $16 (186%)
Cash: $143 (1659% of Medicare)
Ins. Median: $16 (186% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Triwest | $8 | 93% |
| Wellpoint | $8 - $9 | 93% |
| Aetna | $9 - $179 | 104% |
| American Health Plan | $9 | 104% |
| Blue Cross Blue Shield | $9 - $358 | 104% |
| Devoted Health | $9 | 104% |
| Humana | $9 - $21 | 104% |
| Molina | $9 - $298 | 104% |
| Novasys | $9 - $447 | 104% |
| Oscar | $9 | 104% |
| Shared Health | $9 | 104% |
| Tribute Health Plan | $9 | 104% |
| Vaccn | $9 | 104% |
| Veterans Evaluation Services | $9 | 104% |
| Arlington Community Schools | $14 | 162% |
| Bartlett City Schools | $14 | 162% |
| City Of Bartlett | $14 | 162% |
| City Of Lakeland | $14 | 162% |
| Collierville Schools | $14 | 162% |
| Eas Mssc Schools | $14 | 162% |
| Lakeland School System | $14 | 162% |
| Town Of Collierville | $14 | 162% |
| First State Bank Trust | $15 | 174% |
| Magnolia Tn | $15 | 174% |
| Armstrong Relocation | $16 | 186% |
| Ashley Furniture Stores | $16 | 186% |
| Brimhall Foods | $16 | 186% |
| Building Plastic | $16 | 186% |
| Burch Food Services | $16 | 186% |
| Cannon Motor Company | $16 | 186% |
| Carlisle | $16 | 186% |
| Crittenden County | $16 | 186% |
| Davidson Hospitality | $16 | 186% |
| Desoto Co Board Of Supervisors | $16 | 186% |
| Dunn Investment Company | $16 | 186% |
| First Choice Health Plan Of Ms | $16 - $417 | 186% |
| First Community Bank | $16 | 186% |
| French Camp Academy | $16 | 186% |
| Gossett Motor Cars | $16 | 186% |
| Hattiesburg Clinic | $16 | 186% |
| Heartland Catfish Company | $16 | 186% |
| Heavy Machines | $16 | 186% |
| Hollowell Industries | $16 | 186% |
| Hospitality Management Advisors | $16 | 186% |
| Jas D Collier | $16 | 186% |
| Malco Theaters | $16 | 186% |
| Mechanical Systems | $16 | 186% |
| Mid-South Transport | $16 | 186% |
| Patterson Warehouses | $16 | 186% |
| Radians | $16 | 186% |
| Rei Nation | $16 | 186% |
| Retzer Resources | $16 | 186% |
| Ritchey Automotive | $16 | 186% |
| Security One | $16 | 186% |
| Silver Tree | $16 | 186% |
| State Systems | $16 | 186% |
| United Tn Holdings | $16 | 186% |
| Vaughn Electric | $16 | 186% |
| W G Yates | $16 | 186% |
| W W Wood Products | $16 | 186% |
| Watkins Uiberall | $16 | 186% |
| Y K Auto Group | $16 | 186% |
| Access Health Services | $17 - $358 | 197% |
| Employers Health Network | $17 | 197% |
| Harding Academy | $17 | 197% |
| Cigna | $18 | 209% |
| Ppo Holdings | $226 | 2622% |
| Magnolia Regional Health Center | $238 | 2761% |
| Multiplan | $256 - $447 | 2970% |
| Littler | $298 | 3457% |
| Butler Snow | $358 | 4153% |
| UnitedHealthcare | $358 | 4153% |
| Mpcn | $447 | 5186% |
| Ppo Plus | $507 | 5882% |
| Qca | $536 | 6218% |