CMS Price Transparency Data
Culture, bacterial
Facility: Stephens Memorial Hospital
Billing Code: 87070 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$24
about 2.7× the $9 Medicare rate · typically $8–$73
modeled estimate · not a bill or quote
Medicare pays $9 Fair price $24 Cash price $91 Hospital's list price $130
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 | $9 - $35 | 104% |
| Blue Cross Blue Shieldmajor | $23 - $138 | 267% |
| Aetnamajor | $12 - $138 | 139% |
| Cignamajor | $28 - $122 | 325% |
| Humanamajor | $9 | 104% |
| + 1 smaller / regional plan | $35 |
Government programs also on file: Medicaid.
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Other Procedures at Stephens Memorial Hospital
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.