CMS Price Transparency Data

Culture, bacterial

Facility: Methodist Hospital Atascosa

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $17
  • Cash Discount Price: $886
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Methodist Hospital Atascosa is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $886. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.97x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.
Cash / Self-Pay
$886

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $886 (10278%)
Insurance Median: $17 (197%)
Cash: $886 (10278% of Medicare)
Ins. Median: $17 (197% 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
Community First Health Plans $7 - $246 81%
Molina $7 81%
United $7 - $410 81%
Aetna $8 - $456 93%
Triwest Va Pccc $8 93%
Wellmed $8 93%
American Health Plan Of Texas $9 104%
Blue Cross Blue Shield $9 - $269 104%
Clover Insurance $9 104%
Devoted Health $9 104%
Gonzaba Medical Group $9 104%
Humana $9 104%
Ilumed $9 104%
Integranet $9 104%
Superior Health $9 - $46 104%
Texas Independent Health Plan $9 104%
Triwest $9 104%
Triwest Health Alliance $9 104%
Wellcare $9 104%
Focus Healthcare Management $12 139%
Cigna $14 - $19 162%
Focus Health Solutions $20 232%
Healthcare Highways $20 232%
Oscar $23 267%
Imperial Insurance $163 - $173 1891%
Valenz $301 - $319 3492%
Evry Health $316 - $336 3666%
Healthsmart Preferred Care $473 - $502 5487%
Multiplan $645 - $775 7483%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1905 Hwy 97 East, Jourdanton, TX 78026
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals