CMS Price Transparency Data

Culture, bacterial

Facility: Lincoln Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $109
Cash Discount Price: $123
vs. Medicare Baseline: 12.65x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Lincoln Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 12.65x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $123 (1427%)

Insurance Median: $109 (1265%)

Cash: $123 (1427% of Medicare)

Ins. Median: $109 (1265% 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 1265% of the Medicare baseline (a markup of 1165%). 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
Labor & Industries - All Plans	$12	139%
Ambetter / Centene	$63 - $64	731%
Molina Hlthy Options	$63 - $64	731%
UnitedHealthcare	$63 - $120	731%
Amerigroup Mcaid - All Plans	$67 - $68	777%
Aetna	$76 - $130	882%
Indian Hlth Services - All Plans	$76 - $77	882%
Tricare	$76 - $77	882%
Va Ccn - All Plans	$76 - $77	882%
Cigna	$103 - $104	1195%
Focus Healthcare Mgmt - All Plans	$108 - $109	1253%
Molina Exchange-All Other Plans	$108 - $109	1253%
Blue Cross Blue Shield	$119 - $120	1381%
Uniform Medical Plan-All Plans	$119 - $120	1381%
First Health Coventry-All Plans	$121 - $122	1404%
Health Management Network-All Plans	$122 - $123	1415%
Three Rivers-All Plans	$122 - $123	1415%
Asuris Nw Health-All Plans	$125 - $126	1450%
Multiplan-All Plans	$129 - $130	1497%
Physician Hosp Comm Org-All Plans	$129 - $130	1497%
First Choice Health- All Plans	$132 - $133	1531%

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 $123.
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 Lincoln 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.