CMS Price Transparency Data

Culture, bacterial

Facility: Las Palmas Medical Center A Campus of Lpds Healthc

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $439
  • Cash Discount Price: $942
  • vs. Medicare Baseline: 50.93x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Las Palmas Medical Center A Campus of Lpds Healthc is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $942. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 50.93x the Medicare baseline. Located in 1801 North Oregon Street, El Paso, TX.
Cash / Self-Pay
$942

Average discount available for prompt cash payment at this facility.

Insurance Median
$439

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: $942 (10928%)
Insurance Median: $439 (5093%)
Cash: $942 (10928% of Medicare)
Ins. Median: $439 (5093% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 5093% of the Medicare baseline (a markup of 4993%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $7 - $9 81%
Centennial Care $7 81%
El Paso First Health Plans $7 81%
St David’S Hospice $7 - $9 81%
United $7 - $525 81%
Western Sky Community Care $7 - $9 81%
Aetna $8 - $665 93%
Blue Cross Blue Shield $8 - $65 93%
Molina Healthcare $8 - $18 93%
Superior Health Plan $8 - $70 93%
Alignment Health Plan $9 104%
American Health Plan Of Texas $9 104%
Arcadian Health Plan $9 104%
Cigna $9 - $126 104%
Clover Insurance Company $9 104%
Devoted Health $9 104%
Humana $9 104%
Imperial Insurance $9 104%
Provider Partners Health Plan $9 104%
Pyramid Life $9 104%
Shared Health $9 104%
Triwest Health Alliance $9 104%
Triwest Healthcare Alliance $9 104%
UnitedHealthcare $9 - $22 104%
Wellcare Of Tx $9 104%
Wellmed $9 104%
Molina Healthcare Mcr $10 116%
Universal Health Pffs Nc $10 116%
Bravo Health $12 139%
Corvel Corporation $17 197%
Bienvivir Senior Health $22 - $198 255%
Healthcare Highways $24 - $224 278%
Oscar $29 336%
First Health $57 - $525 661%
Healthsmart Preferred Care $57 - $641 661%
Emerging Therapy Solutions $58 - $805 673%
Sheriff'S Dept El Paso County Detention $64 - $583 742%
Ysleta Del Sur Pueblo $64 - $583 742%
Southwest Medical Provider Network $70 - $641 812%
Advantage Care Network $76 - $700 882%
El Paso First Health Plan $76 - $700 882%
Prime Health $76 - $700 882%
Texas Workforce Commission $80 - $735 928%
Multiplan $83 - $758 963%
Phcs $83 - $758 963%
Integrated Medical Systems $89 - $816 1032%
Samsa $89 - $816 1032%
Danmark - International Contract $95 - $874 1102%
Galaxy Health Network $95 - $874 1102%
Medcorp Southwest $102 - $933 1183%
Usa Managed Care $104 - $1,108 1206%
Affiliated Healthcare $108 - $991 1253%
National Provider Network $114 - $1,049 1323%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 North Oregon Street, El Paso, TX 79902
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals