CMS Price Transparency Data

Culture, bacterial

Facility: Mary Bridge Children's Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $11
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Mary Bridge Children's Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.28x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $30 (348%)
Insurance Median: $11 (128%)
Cash: $30 (348% of Medicare)
Ins. Median: $11 (128% 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.

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
Molina $5 - $16 58%
Wellpoint $5 58%
Community Health Plan Of Washington $6 - $16 70%
Coordinated Care $6 70%
UnitedHealthcare $6 - $10 70%
Aetna $9 - $67 104%
Premera $9 - $11 104%
Regence $9 - $11 104%
Wellcare $9 104%
Kaiser $11 128%
Uniform Medical $11 128%
Ambetter / Centene $18 209%
Pacificsource $19 - $28 220%
First Choice $44 - $65 510%
First Health $54 - $67 626%
Multiplan/Phcs $54 - $67 626%
Cigna $55 - $70 638%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 317 Martin Luther King Jr W Box 5299, Tacoma, WA 98415
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens