CMS Price Transparency Data

Culture, bacterial

Facility: Freestone Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $15
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Freestone Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.74x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $51 (592%)
Insurance Median: $15 (174%)
Cash: $51 (592% of Medicare)
Ins. Median: $15 (174% 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
Amerigroup $5 - $22 58%
Gilsbar $6 - $72 70%
Aarp $7 81%
Apwu $7 81%
Fringe Benefits $7 81%
Geha $7 81%
Mcaid $7 - $15 81%
Misc Mcaid Hmo $7 - $22 81%
Superior Health Chip $7 - $15 81%
Tx Childrens Mcaid $7 - $15 81%
Uhcss $7 81%
UnitedHealthcare $7 - $22 81%
Aarp Mcare /Wellmed $9 104%
Aetna $9 - $58 104%
Allwell Superior Hlth $9 104%
Ambetter / Centene $9 104%
Blue Cross Blue Shield $9 - $65 104%
Care Improvement Plus $9 104%
Champva $9 104%
Humana $9 - $72 104%
Medicaid / KanCare $9 - $33 104%
Medicare (plans) $9 104%
Misc Mcare Replacement $9 104%
Pphp Prov Part Hlth Plan $9 104%
Rightcare S&W Mcaid $9 - $22 104%
Scott & White Senior Care $9 104%
Superior Health Mcd $9 - $33 104%
Superior Hlth Mcare Repl $9 104%
Tricare $9 104%
Triwest $9 104%
Triwest Va Ccn Claims $9 104%
Utmb Corr Mgd Care $9 104%
Va Vha Office Comm Care $9 104%
Veteran'S Administration $9 104%
Wellmed $9 104%
Scott & White Commercial $10 116%
Scott & White Employees $10 116%
Workers Compensation $17 197%
Cigna $43 499%
Misc Multiplan $51 592%
Misc Multiplan Auto $51 592%
Misc Multiplan Workcomp $51 592%
Self Pay Gt 083123 $51 592%
Self Pay Lt 090123 $51 592%
Aflac $72 835%
Bankers Life $72 835%
Fairview Nursing Home $72 835%
Icare $72 835%
Inmate Freestone Co $72 835%
Misc Hospice $72 835%
Miscellaneous $72 835%
Miscellaneous Auto $72 835%
Mutual Of Omaha $72 835%
North American Med Empl $72 835%
Standard Life Insurance $72 835%
Tml $72 835%
Zelis Healthcare $72 835%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals