CMS Price Transparency Data

Culture, bacterial

Facility: Baylor Scott & White Medical Center -Taylor

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $43
Cash Discount Price: $43
vs. Medicare Baseline: 4.99x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Baylor Scott & White Medical Center -Taylor is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 4.99x the Medicare baseline. Located in 305 Mallard, Taylor, TX.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $43 (499%)

Insurance Median: $43 (499%)

Cash: $43 (499% of Medicare)

Ins. Median: $43 (499% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 499% of the Medicare baseline (a markup of 399%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$9	104%
Baylor Scott & White Health Plan	$12 - $109	139%
Triwest	$12 - $54	139%
American Health Plan	$13 - $56	151%
Blue Cross Blue Shield	$13 - $56	151%
Corvel	$13 - $56	151%
Healthspring	$13 - $56	151%
Prime Health Services	$13 - $56	151%
Procare Advantage	$13 - $56	151%
Superior Health Plan	$13 - $56	151%
Careworks Fka Rockport	$15 - $67	174%
Injury Management Organization	$15 - $67	174%
Sedgwick	$15 - $67	174%
Cigna	$30 - $154	348%
Aetna	$32 - $141	371%
Midcoast	$32 - $141	371%
Quiktrip	$32 - $141	371%
University Of Mary Hardin-Baylor	$34 - $148	394%
Independent Medical System	$35 - $153	406%
Curative	$38 - $166	441%
Humana	$38 - $179	441%
First Health	$41 - $179	476%
Healthsmart	$41 - $192	476%
Private Health Care System	$44 - $192	510%
Bluebell Creameries	$47 - $204	545%
Three Rivers	$47 - $204	545%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $43.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87070.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center -Taylor is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 87070.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.