CMS Price Transparency Data

Culture, bacterial

Facility: De Tar Hospital Navarro

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $13
  • Cash Discount Price: $287
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at De Tar Hospital Navarro is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $287. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.51x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$287

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $287 (3329%)
Insurance Median: $13 (151%)
Cash: $287 (3329% of Medicare)
Ins. Median: $13 (151% 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
Blue Cross Blue Shield $7 - $235 81%
Medicaid / KanCare $7 - $24 81%
Scott & White $7 81%
UnitedHealthcare $7 - $321 81%
Humana $8 93%
Medicare (plans) $8 93%
Superior $8 - $18 93%
Aetna $9 - $642 104%
American Health Mcr Adv $9 104%
Department Of Veterans Affairs $9 104%
Node Amerigroup Mcr Adv $9 104%
Node Hospice Non Par Agree $9 104%
Node Procare Mcr Adv $9 104%
Node Triwest $9 104%
Node Va $9 104%
Provider Partners Health Plan $9 104%
Tricare $9 104%
Veterans Eval Services $9 104%
Industrial Rehab $10 116%
Node Us Dept Of Labor $11 128%
Node Brookshire Brothers $15 174%
Node Brookshire Brothers Work Comp Tx $16 186%
Amerigroup $17 197%
Work Comp $17 197%
Elap $19 220%
Sane $250 2900%
Dars $259 3005%
Tx Workforce Commission $259 3005%
Cigna $268 - $484 3109%
Healthsmart $619 - $788 7181%
Multiplan $732 - $901 8492%
First Health $766 8886%
Medcorp Southwest Inc $788 9142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals