CMS Price Transparency Data
Culture, bacterial
Facility: Memorial Medical Center
Billing Code: 87070 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$43
about 4.8× the $9 Medicare rate · typically $10–$50
modeled estimate · not a bill or quote
Medicare pays $9 Fair price $43 Cash price $114 Hospital's list price $163
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 | $18 - $155 | 209% |
| Blue Cross Blue Shieldmajor | $42 - $44 | 487% |
| Aetnamajor | $18 - $155 | 209% |
| Cignamajor | $47 - $146 | 545% |
| Humanamajor | $50 - $155 | 580% |
| Ambetter (Centene) | $21 - $65 | 244% |
| Amerigroup | $18 - $93 | 209% |
| Health Net | $50 - $155 | 580% |
| Healthcare Highways | $50 - $155 | 580% |
| Molina | $30 - $93 | 348% |
| + 13 smaller / regional plans | $18 - $165 |
Government programs also on file: Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Memorial Medical Center
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.