Culture, bacterial
Facility: Valley Regional Medical Center
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $12
- Cash Discount Price: $641
- vs. Medicare Baseline: 1.39x 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.
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 | $1 - $104 | 12% |
| Texas Workforce Commission | $1 - $357 | 12% |
| United | $1 - $670 | 12% |
| Averde Health | $2 - $491 | 23% |
| Blue Cross Blue Shield | $3 - $670 | 35% |
| First Health | $3 - $856 | 35% |
| Healthsmart Preferred Care | $3 - $1,266 | 35% |
| Affiliated Healthcare | $4 - $1,013 | 46% |
| Coastal Comp | $4 - $968 | 46% |
| National Healthcare Solutions | $4 - $894 | 46% |
| Southwest Medical | $4 - $894 | 46% |
| Total E&P Mexico | $4 - $968 | 46% |
| Beech Street | $5 - $1,340 | 58% |
| Mcm Maxcare | $5 - $1,192 | 58% |
| Pronet Ppo | $5 - $1,192 | 58% |
| Usa Managed Care | $5 - $1,192 | 58% |
| Driscoll Childrens Health Plan | $7 | 81% |
| Texas Health Network | $7 | 81% |
| Usa Mco | $7 | 81% |
| Aetna | $8 - $91 | 93% |
| Molina Healthcare | $8 - $18 | 93% |
| American Health Plan | $9 | 104% |
| Cigna | $9 - $31 | 104% |
| Humana | $9 - $110 | 104% |
| Independent Medical System | $9 | 104% |
| Molina | $9 | 104% |
| Physicians Health Choice | $9 | 104% |
| Prominence Health | $9 | 104% |
| Provider Partners Health Plan Of Texas | $9 | 104% |
| Shared Health | $9 | 104% |
| Triwest Healthcare Alliance | $9 | 104% |
| Wellmed | $9 | 104% |
| Superior | $13 | 151% |
| Corvel Corporation | $17 | 197% |
| Omni Healthcare | $18 | 209% |
| Oscar | $20 | 232% |
| Healthcare Highways | $26 | 302% |