CMS Price Transparency Data
Culture, bacterial
Facility: Nacogdoches Memorial Hospital
Billing Code: 87070 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$37
about 4.1× the $9 Medicare rate · typically $10–$47
modeled estimate · not a bill or quote
Medicare pays $9 Fair price $37 Cash price $14 Hospital's list price $48
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $5 - $73 | 58% |
| Blue Cross Blue Shieldmajor | $8 - $162 | 93% |
| Aetnamajor | $11 - $162 | 128% |
| Health Net | $11 - $152 | 128% |
| Molina | $14 - $202 | 162% |
| WellMed | $14 - $202 | 162% |
| + 1 smaller / regional plan | $5 - $202 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Nacogdoches Memorial Hospital
Compare: Culture, bacterial at other TX hospitals
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $6
- PAM Specialty Hospital of Texarkana North · Texarkana $6
- Ascension Providence · Waco $7
- University of Texas M. D. Anderson Cancer Center · Houston $7
- South Texas Health System · Edinburg $7
- Otto Kaiser Memorial Hospital · Kenedy $7
- PAM Rehabilitation Hospital of Beaumont · Beaumont $7
- PAM Rehabilitation Hospital of Clear Lake · Webster $7
Insurance negotiated median for the same procedure, sorted lowest first.