CMS Price Transparency Data

Culture, bacterial

Facility: Baylor Scott & White Continuing Care Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $48
Cash Discount Price: $43
vs. Medicare Baseline: 5.57x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Baylor Scott & White Continuing Care Hospital is $48. 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 5.57x the Medicare baseline. Located in 546 N Kegley Rd, Temple, TX.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $48 (557%)

Cash: $43 (499% of Medicare)

Ins. Median: $48 (557% 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 557% of the Medicare baseline (a markup of 457%). 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	$8	93%
Corvel	$9	104%
Injury Management Organization	$11	128%
Careworks Fka Rockport	$13	151%
Sedgwick	$13	151%
Superior Health Plan	$18 - $70	209%
Midcoast	$32 - $123	371%
Blue Cross Blue Shield	$33 - $153	383%
Independent Medical System	$35 - $135	406%
Cigna	$37 - $168	429%
Curative	$38 - $146	441%
First Health	$41 - $157	476%
Healthsmart	$41 - $168	476%
Humana	$41 - $157	476%
Imagine Health	$42 - $162	487%
Aetna	$44 - $168	510%
University Of Mary Hardin-Baylor	$44 - $168	510%
Three Rivers	$53 - $202	615%

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 Continuing Care Hospital 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.