CMS Price Transparency Data
Culture, bacterial
Facility: Children's Hosp of Los Angeles
Billing Code: 87070 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 87070
- Insurance Median: $16
- Cash Discount Price: $29
- vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Children's Hosp of Los Angeles is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.86x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$29
Average discount available for prompt cash payment at this facility.
Insurance Median
$16
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: $29 (336%)
Insurance Median: $16 (186%)
Cash: $29 (336% of Medicare)
Ins. Median: $16 (186% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $1 - $76 | 12% |
| Shriners Hospital | $1 - $23 | 12% |
| Beech Street | $2 - $30 | 23% |
| Health Net | $2 - $95 | 23% |
| Centinela Valley IPA | $2 - $76 | 23% |
| Intl - Quality Health Management | $2 - $49 | 23% |
| Alhambra Hospital Medical Center | $2 - $76 | 23% |
| Aetna | $2 - $42 | 23% |
| Pioneer Prov Ntwk | $2 - $38 | 23% |
| Los Angeles Medical Center IPA | $2 - $76 | 23% |
| Seoul Medical Group | $2 - $45 | 23% |
| Mercy Care | $2 - $38 | 23% |
| Community Care | $2 - $42 | 23% |
| Access Medical Group | $2 - $45 | 23% |
| Health Care La IPA | $2 - $76 | 23% |
| UnitedHealthcare | $2 - $59 | 23% |
| Family Care Specialists | $2 - $76 | 23% |
| Intl - Global Medical Management | $2 - $42 | 23% |
| Heritage Provider Network | $2 - $76 | 23% |
| Managed Care Systems | $2 - $38 | 23% |
| St. John's Health Clinic | $2 - $36 | 23% |
| Delta Health Systems | $2 - $46 | 23% |
| Axminster Medical Group | $2 - $36 | 23% |
| Gemcare IPA | $2 - $38 | 23% |
| Blue Cross Blue Shield | $2 - $76 | 23% |
| Global Care Medical Group | $2 - $76 | 23% |
| Premier Physicians Ntwk | $2 - $76 | 23% |
| Intl - Global Excel Management | $2 - $49 | 23% |
| Allied Pacific IPA | $2 - $76 | 23% |
| Kaiser | $2 - $43 | 23% |
| Self-Pay | $2 - $46 | 23% |
| La Care | $2 - $76 | 23% |
| Citrus Valley Phys Grp | $2 - $49 | 23% |
| Altamed | $2 - $76 | 23% |
| Non-Contract Payors | $2 - $30 | 23% |
| Sanus Health | $2 - $46 | 23% |
| Blue Shield | $2 - $76 | 23% |
| Ventura County Health Plan | $2 - $46 | 23% |
| Bright Medical Associates | $2 - $46 | 23% |
| Choice Medical Group | $2 - $42 | 23% |
| Preferred IPA - Commercial | $2 - $46 | 23% |
| Incentive Health Network | $2 - $30 | 23% |
| Culinary Health Fund | $2 - $42 | 23% |
| Sierra Health and Life Insurance Company | $2 - $48 | 23% |
| Private Hlthcare System | $2 - $46 | 23% |
| Bella Vista Med Grp | $2 - $76 | 23% |
| Accarent Health | $2 - $38 | 23% |
| Applecare Medical Group | $2 - $76 | 23% |
| Good Samaritan Medical Group | $2 - $40 | 23% |
| National Healthcare Solutions | $2 - $42 | 23% |
| Emanate Health Medical Center Commercial | $2 - $46 | 23% |
| Emanate Health Medical Center Mmc | $2 - $34 | 23% |
| Sansum Clinic | $2 - $38 | 23% |
| Exceptional Care Medical Group | $2 - $76 | 23% |
| Staywell Insurance | $2 - $38 | 23% |
| Facey Medical Group | $2 - $36 | 23% |
| Book Md | $2 - $40 | 23% |
| Embassy - Saudi Arabia | $3 - $49 | 35% |
| Angeles IPA | $3 - $76 | 35% |
| Associated Hispanic Physicians IPA | $3 - $76 | 35% |
| Self-Pay International | $3 - $61 | 35% |
| Intl - Aixin Life Insurance Co | $3 - $49 | 35% |
| Hispanic Physician IPA | $3 - $76 | 35% |
| Marian Health Services | $3 - $49 | 35% |
| Redlands Community Hospital | $3 - $49 | 35% |
| Serra Community Med Clinic - Commercial | $3 - $49 | 35% |
| Cedar Sinai Med Grp | $3 - $49 | 35% |
| Plotkin Health | $3 - $49 | 35% |
| Intl - Msh China Enterprise Services | $3 - $49 | 35% |
| Memorialcare Med Foundation | $3 - $53 | 35% |
| Embassy - All Others | $3 - $61 | 35% |
| Embassy - Kuwait | $3 - $57 | 35% |
| Primecare Medical Network | $3 - $53 | 35% |
| Lakewood Health Plan | $3 - $49 | 35% |
| Star Healthcare Network Commercial | $3 - $49 | 35% |
| Multiplan | $3 - $53 | 35% |
| Prime Health Services | $3 - $49 | 35% |
| Prospect Medical Group | $3 - $57 | 35% |
| Intl - Concierge Healthcare Services | $3 - $49 | 35% |
| Calvo Selectcare | $3 - $49 | 35% |
| Intl - Erv Travel Services | $3 - $53 | 35% |
| Interlink Health Services | $3 - $57 | 35% |
| Seaside Health Plan | $3 - $76 | 35% |
| Axis Services International | $3 - $49 | 35% |
| Korean American Med Grp | $3 - $53 | 35% |
| Beaver Medical Group | $3 - $53 | 35% |
| Watts Healthcare Mmc | $4 - $76 | 46% |
| Champus | $4 - $9 | 46% |
| Asian Community Medical Group | $4 - $76 | 46% |
| Southern Atlantic Medical Group Mmc | $4 - $76 | 46% |
| Caloptima | $4 - $76 | 46% |
| White Memorial Medical Center | $4 - $76 | 46% |
| Family Health Alliance Med Grp | $4 - $76 | 46% |
| Mabuhay Medical Group | $4 - $76 | 46% |
| Beverly Hospital | $4 - $76 | 46% |
| Cencal Health | $4 - $76 | 46% |
| Primary Care and Pediatric IPA | $4 - $76 | 46% |
| Regent Medical Group | $4 - $76 | 46% |
| Preferred IPA | $4 - $76 | 46% |
| El Proyecto Del Barrio | $4 - $76 | 46% |
| Accountable Health | $4 - $76 | 46% |
| Avalon IPA | $4 - $76 | 46% |
| Superior Choice Medical Group | $4 - $76 | 46% |
| Valley Presbyterian Hospital | $4 - $76 | 46% |
| Souther California Hosp System - Mmc | $4 - $76 | 46% |
| Kern Family Health Plan | $4 - $76 | 46% |
| Southland San Gabriel Valley Medical Group | $4 - $76 | 46% |
| Pacific Alliance Medical Center | $4 - $76 | 46% |
| Dignity Health | $4 - $76 | 46% |
| Medi-Cal | $4 - $11 | 46% |
| Providence Health Network | $4 - $13 | 46% |
| San Judas Med Grp | $4 - $76 | 46% |
| Community Family Care IPA | $4 - $76 | 46% |
| Community Care IPA Mmc | $4 - $76 | 46% |
| Healthy New Life Medical Corp | $4 - $76 | 46% |
| Molina | $4 - $16 | 46% |
| Choc Health Alliance | $4 - $9 | 46% |
| Medicare (plans) | $4 - $8 | 46% |
| Gold Coast Health Plan | $4 - $76 | 46% |
| Cal Care IPA | $4 - $76 | 46% |
| Inland Empire Health Plan | $4 - $15 | 46% |
| Imperial Health Holdings Medical Group | $4 - $76 | 46% |
| California Pacific Physicians Medical Group | $4 - $76 | 46% |
| St Francis Medical Center | $4 - $76 | 46% |
| Employee Health Systems Med Grp | $4 - $76 | 46% |
| Hollywood Presbyterian Medical Center | $4 - $76 | 46% |
| Adventist Health Physicians | $4 - $76 | 46% |
| Serra Community Med Clinic | $4 - $76 | 46% |
| Crown City Medical Group | $4 - $76 | 46% |
| Karing Physicians Medical Group | $4 - $76 | 46% |
| Care 1St | $4 - $76 | 46% |
| Serendib Healthways Mmc | $4 - $76 | 46% |
| Noble Community Medical Associates | $4 - $76 | 46% |
| Point Comfort Underwriters | $4 - $8 | 46% |
| Cigna | $16 | 186% |