CMS Price Transparency Data
Culture, bacterial
Facility: Ascension Seton Edgar B Davis
Billing Code: 87070 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$22
about 2.4× the $9 Medicare rate · typically $9–$58
modeled estimate · not a bill or quote
Medicare pays $9 Fair price $22 Cash price $60 Hospital's list price $167
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 - $10 | 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 - $244 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
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Other Procedures at Ascension Seton Edgar B Davis
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.