CMS Price Transparency Data

Culture, bacterial

Facility: Woodland Heights Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $13
  • Cash Discount Price: $204
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Woodland Heights Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $204. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.51x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$204

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: $204 (2367%)
Insurance Median: $13 (151%)
Cash: $204 (2367% 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
Humana $8 93%
Medicare (plans) $8 93%
UnitedHealthcare $8 - $401 93%
American Health Mcr Adv $9 104%
Blue Cross Blue Shield $9 - $132 104%
Department Of Veterans Affairs $9 104%
Node Amerigroup Mcr Adv $9 104%
Node Procare Advantage $9 104%
Node Triwest $9 104%
Node Va $9 104%
Provider Partners Health Plan $9 104%
Superior $9 - $12 104%
Tricare $9 104%
Veterans Eval Services $9 104%
Node Us Dept Of Labor $11 128%
Medicaid / KanCare $12 - $17 139%
Angelina County $13 151%
Corporate Remedies $13 151%
Partners Direct Health $13 151%
Node Brookshire Brothers $15 174%
Node Brookshire Brothers Work Comp Tx $16 186%
Usa Managed Care $16 186%
Amerigroup $17 197%
Work Comp $17 197%
Cigna $25 290%
Self Pay $45 - $90 522%
Texas Rehab Commission $226 2622%
Aetna $480 - $769 5568%
Multiplan $588 - $769 6821%
Unicare $634 7355%
Galaxy Health Network $769 8921%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals