Culture, bacterial
Facility: St David's Medical Center
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $232
- Cash Discount Price: $798
- vs. Medicare Baseline: 26.91x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 2691% of the Medicare baseline (a markup of 2591%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Superior Health Plan | $2 - $147 | 23% |
| Covenant Management Systems | $3 - $248 | 35% |
| Healthcare Highways | $3 - $259 | 35% |
| Moda | $3 - $203 | 35% |
| United | $3 - $388 | 35% |
| Blue Cross Blue Shield | $4 - $275 | 46% |
| Evry Health | $4 - $317 | 46% |
| Imo Med - Select Network | $4 - $259 | 46% |
| Moda Health | $4 - $319 | 46% |
| Nomi Health | $4 - $319 | 46% |
| Texas Healthcare Foundation Heb | $4 - $319 | 46% |
| Averde Health | $5 - $388 | 58% |
| Harbor Health Team | $5 - $345 | 58% |
| Texas Workforce Commission | $5 - $336 | 58% |
| Comanche County | $6 - $431 | 70% |
| National Choicecare | $6 - $431 | 70% |
| Healthsmart Preferred Care | $7 - $690 | 81% |
| Independent Medical Systems | $7 - $474 | 81% |
| Physicians Cooperative Of Texas | $7 - $474 | 81% |
| Prime Health | $7 - $517 | 81% |
| St David’S Hospice | $7 - $9 | 81% |
| Coastal Comp Health Networks | $8 - $560 | 93% |
| First Health | $8 - $620 | 93% |
| Molina Healthcare | $8 - $9 | 93% |
| National Health Care | $8 - $560 | 93% |
| Occunet | $8 - $603 | 93% |
| Texas Municipal League | $8 - $603 | 93% |
| Wellmed | $8 | 93% |
| Aetna | $9 - $74 | 104% |
| American Health Plan Of Texas | $9 | 104% |
| Cigna | $9 - $24 | 104% |
| Devoted Health | $9 | 104% |
| Humana | $9 | 104% |
| Imperial Insurance | $9 | 104% |
| Medcorp Southwest | $9 - $646 | 104% |
| Odyssey Hospice | $9 | 104% |
| Provider Partners Health Plan | $9 | 104% |
| Pyramid Life | $9 | 104% |
| Sendero | $9 - $15 | 104% |
| Shared Health | $9 | 104% |
| Texas Independent Health Plan | $9 | 104% |
| Triwest Health Alliance | $9 | 104% |
| Triwest Healthcare Alliance | $9 | 104% |
| Triwest Veterans | $9 | 104% |
| Wellcare | $9 | 104% |
| Rockport Healthcare Group | $10 - $776 | 116% |
| Universal Health | $10 | 116% |
| Austin Fc | $11 | 128% |
| Bce Emergis Corporation | $11 - $776 | 128% |
| Beech Street | $11 - $776 | 128% |
| Medical Control Network Solutions | $11 - $776 | 128% |
| Multiplan | $11 - $776 | 128% |
| Amerigroup | $12 | 139% |
| Naphcare | $13 | 151% |
| Seven Corners | $13 | 151% |
| Corvel Corporation | $17 | 197% |
| Oscar | $24 - $26 | 278% |