CMS Price Transparency Data

Culture, bacterial

Facility: Knapp Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $9
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Knapp Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.04x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$8

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: $8 (93%)
Insurance Median: $9 (104%)
Cash: $8 (93% 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
Corvel $6 70%
Zelis Healthcare Fka Stratose $6 70%
Provider Network Of America $7 81%
Superior Health Plan $7 - $15 81%
UnitedHealthcare $7 - $15 81%
Americas Choice Provider Network (Acpn) $8 93%
Division Of Immigration Health $8 93%
Molina $8 - $16 93%
Provider Select $8 93%
Three Rivers $8 93%
Blue Cross Blue Shield $9 - $31 104%
Cigna $9 - $14 104%
Coventry (First Health) $9 104%
Imperial Insurance Companies $9 104%
Medicare (plans) $9 104%
Multiplan $9 104%
Prime Health Services $9 104%
Provider Partners Health Plan $9 104%
Texas Bluebonnet Health Plan $9 - $14 104%
Tricare $9 104%
Veterans Evaluation Services $9 104%
Wellmed Aarp Ma Fka Physicians Health Choice $9 104%
Worker Comp $9 104%
Frontier Health (Fka Asserta Health) $11 128%
Magic Valley Electric Cooperative $11 128%
Texas Oncology Pa Op $11 128%
Employer Direct Healthcare $12 139%
Corporate Remedies (Wc) $13 151%
Naphcare $13 151%
Medicaid / KanCare $14 162%
Occunet $15 174%
Baker Benefits Administrators $17 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals