CMS Price Transparency Data

Culture, bacterial

Facility: Columbus Community Hospital

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $215
Cash Discount Price: $166
vs. Medicare Baseline: 24.94x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Columbus Community Hospital is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $166. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 24.94x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$166

Average discount available for prompt cash payment at this facility.

Insurance Median

$215

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: $166 (1926%)

Insurance Median: $215 (2494%)

Cash: $166 (1926% of Medicare)

Ins. Median: $215 (2494% 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 2494% of the Medicare baseline (a markup of 2394%). 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
Dean Health Plan	$9 - $74	104%
My Choice Wisconsin	$9 - $12	104%
Quartz	$9 - $246	104%
Security Health Plan	$9 - $279	104%
UnitedHealthcare	$9 - $310	104%
Blue Cross Blue Shield	$12 - $288	139%
Icare	$12 - $108	139%
Alliance	$25	290%
Cigna	$154 - $224	1787%
Health Payment Systems	$193 - $280	2239%
Trilogy	$211 - $307	2448%
Wps	$216 - $315	2506%
Healtheos	$224 - $348	2599%
First Health	$226 - $329	2622%
Humana	$231 - $337	2680%

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 $166.
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 Columbus Community 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.