CMS Price Transparency Data

Culture, bacterial

Facility: Northwest Hills Surgical Hospital

Billing Code: 87070 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12
about 1.3× the $9 Medicare rate · typically $9–$16
modeled estimate · not a bill or quote
What this hospital charges insurers
$13
About the fair price
about $1 over the fair price · 1.4× Medicare
Medicare pays $9 Fair price $12 This hospital $13 Cash price $12 Hospital's list price $33

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $6 Priciest $13

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Culture, bacterial is about $12 (about 1.3× the $9 Medicare rate). Northwest Hills Surgical Hospital charges insurers about $13, or about $12 in cash — about the fair price. Located in Austin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $6 - $7 70%
Blue Cross Blue Shieldmajor $6 - $41 70%
Aetnamajor $23 - $64 267%
Cignamajor $20 232%
Humanamajor $14 162%
Ambetter (Centene) $7 - $10 81%
+ 9 smaller / regional plans $6 - $47
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 6818 Austin Ctr Blvd Suite 100, Austin, TX 78731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals