CMS Price Transparency Data

Culture, bacterial

Facility: Pullman Regional Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $89
  • Cash Discount Price: $92
  • vs. Medicare Baseline: 10.32x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Pullman Regional Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 10.32x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$92

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $92 (1067%)
Insurance Median: $89 (1032%)
Cash: $92 (1067% of Medicare)
Ins. Median: $89 (1032% 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 1032% of the Medicare baseline (a markup of 932%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Premera First - All Plans $9 104%
Blue Cross Blue Shield $38 - $103 441%
Community Care Ntwrk Mcare-All Plans $38 441%
Humana $38 441%
Kaiser Mcare Advan $38 441%
Sterling Mcr Adv-All Plans $38 441%
Triwest - All Plans $38 441%
Community Health Plan Mcaid-All Plans $39 452%
Medicaid / KanCare $39 452%
Molina Hlthcare Mcaid-All Plans $39 452%
Wellcare Mcaid -All Other Plans $39 452%
Wellpoint Mcaid - All Plans $39 452%
Wellcare Mcr Adv $41 476%
Idaho Dshs-All Plans $44 510%
Single Case Agree - All Plans $79 916%
First Choice Admin $89 1032%
Admin Wsu Student-All Plans $92 1067%
Multiplan - All Plans $92 1067%
Asuris Nw Hlth-All Plans $97 1125%
Cigna $97 1125%
First Choice - All Other Plans $97 1125%
Focus Hlthcare - All Plans $97 1125%
Northwest One - All Plans $97 1125%
UnitedHealthcare $97 1125%
Aetna $103 1195%
Great West Hlth-All Plans $103 1195%
Integrated Hp - All Plans $103 1195%
Spokane Phco - All Plans $103 1195%
Kaiser - All Other Plans $105 1218%
Provider Network Of America-All Plans $106 1230%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals