Culture, bacterial
Facility: Johnson Memorial Hospital
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $46
- Cash Discount Price: $32
- vs. Medicare Baseline: 5.34x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 534% of the Medicare baseline (a markup of 434%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $8 - $3,413 | 93% |
| Medicare (plans) | $8 - $3,587 | 93% |
| Aetna | $8 - $3,413 | 93% |
| Blue Cross Blue Shield | $8 - $6,585 | 93% |
| Harvard Pilgrim Healthcare | $9 | 104% |
| Cigna | $9 - $3,515 | 104% |
| Cca Senior Care Options | $9 - $3,481 | 104% |
| Geha | $9 | 104% |
| Fallon Health | $11 - $4,527 | 128% |
| Centivo | $11 - $8,114 | 128% |
| Connecticare | $15 - $16 | 174% |
| Blue Shield - Ny Highmark Northeastern | $16 - $6,585 | 186% |
| Unicare | $16 - $6,585 | 186% |
| Bcn Domestic | $16 - $6,585 | 186% |
| Blue Care Network | $16 - $6,585 | 186% |
| Blue Distinction Transplant | $16 - $6,585 | 186% |
| Blue Shield - Id (Regence) | $16 - $6,585 | 186% |
| Kaiser Domestic | $16 - $6,585 | 186% |
| Wellpoint | $16 - $6,585 | 186% |
| Blue Shield - PA (Highmark) | $16 - $6,585 | 186% |
| Blue Shield - Wa (Regence) | $16 - $6,585 | 186% |
| Pre-Employment | $16 - $6,585 | 186% |
| Wc Domestic | $16 - $6,585 | 186% |
| Blue Benefit Administrators of Massachusetts | $16 - $6,585 | 186% |
| Health Choices | $16 - $6,585 | 186% |
| Blue Shield - Ca | $16 - $6,585 | 186% |
| Blue Shield - Ny Highmark Western | $16 - $6,585 | 186% |
| Hap | $17 | 197% |
| Meritain | $17 | 197% |
| Webtpa | $17 | 197% |
| Nippon Life Ins | $17 | 197% |
| 1199 National Benefit Fund | $17 | 197% |
| Gravie Admin Services | $17 | 197% |
| Allied Benefit Systems | $17 | 197% |
| Luminare Health | $17 | 197% |
| Claimdoc | $18 - $7,313 | 209% |
| Diversified Administrators | $18 - $7,313 | 209% |
| Innovative Health Plan II | $18 - $7,313 | 209% |
| Connecticut Dept of Correction | $19 - $3,216 | 220% |
| Health New England | $36 - $38 | 418% |
| Prime Health Services | $45 - $46 | 522% |
| International Benefit Administrators | $46 - $48 | 534% |
| Mvp | $46 - $48 | 534% |
| Lifetime Benefit Solutions | $46 - $48 | 534% |
| Paramount HMO | $46 - $48 | 534% |
| Asrm - Reliance Standard Life Insurance | $46 - $48 | 534% |
| Family Life Insurance Company | $46 - $48 | 534% |
| Pai | $46 - $48 | 534% |
| Trinity Health Share | $46 - $48 | 534% |
| Manhattan Life | $46 - $48 | 534% |
| Medi Share | $46 - $48 | 534% |
| Dean Health | $46 - $48 | 534% |
| Allied National Global Care | $46 - $48 | 534% |
| PHCS | $46 - $48 | 534% |
| Christian Care Ministry | $46 - $48 | 534% |
| Ghc Scw | $46 - $48 | 534% |
| Multiplan | $46 - $48 | 534% |
| Pan-American Life | $46 - $48 | 534% |
| Health Smart | $48 - $49 | 557% |
| Allegiance | $49 | 568% |
| Health Partners | $49 | 568% |
| Magnacare | $49 | 568% |
| United Behavioral Health Eap | $56 - $58 | 650% |