CMS Price Transparency Data

Culture, bacterial

Facility: Comanche County Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $60
Cash Discount Price: $105
vs. Medicare Baseline: 6.96x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Comanche County Medical Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 6.96x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$60

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: $105 (1218%)

Insurance Median: $60 (696%)

Cash: $105 (1218% of Medicare)

Ins. Median: $60 (696% 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 696% of the Medicare baseline (a markup of 596%). 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
Swhp Comm - All Other Plans	$3 - $19	35%
Choicecare Comm - All Other Plans	$14 - $80	162%
Choicecare Mcr Adv	$14 - $80	162%
Humana	$14 - $151	162%
Molina Mcr Adv - All Other Plans	$14 - $80	162%
Pphp Mcr Adv - All Plans	$14 - $80	162%
Superior Epo/Hmo - All Plans	$14 - $80	162%
Swhp Mcr Adv	$14 - $80	162%
Wellmed Mcr Adv - All Plans	$14 - $80	162%
Alliance Wc - All Plans	$21 - $120	244%
Blue Cross Blue Shield	$21 - $22	244%
Aetna	$23 - $136	267%
Molina Mcaid	$23 - $136	267%
Swhp Mcaid	$23 - $136	267%
Cigna	$24 - $140	278%
Occunet - All Plans	$28 - $162	325%
First Care Hmo - All Other Plans	$31 - $184	360%
First Care Hmo Self Funded	$31 - $184	360%
Mpi - All Plans	$33 - $194	383%

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 $105.
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 Comanche County Medical Center 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.