Culture, bacterial
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $32
- Cash Discount Price: $32
- vs. Medicare Baseline: 3.71x 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 371% of the Medicare baseline (a markup of 271%). 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 |
|---|---|---|
| Aetna | $8 - $12 | 93% |
| Medicare (plans) | $8 - $9 | 93% |
| Blue Cross Blue Shield | $8 - $32 | 93% |
| UnitedHealthcare | $8 - $9 | 93% |
| Geha | $9 | 104% |
| Cigna | $9 - $12 | 104% |
| Cca Senior Care Options | $9 | 104% |
| Harvard Pilgrim Healthcare | $9 | 104% |
| Gravie Admin Services | $12 | 139% |
| Allegiance | $12 | 139% |
| Luminare Health | $12 | 139% |
| Webtpa | $12 | 139% |
| Magnacare | $12 | 139% |
| Nippon Life Ins | $12 | 139% |
| Hap | $12 | 139% |
| Allied Benefit Systems | $12 | 139% |
| 1199 National Benefit Fund | $12 | 139% |
| Health Partners | $12 | 139% |
| Meritain | $12 | 139% |
| Diversified Administrators | $18 | 209% |
| Innovative Health Plan II | $18 | 209% |
| Claimdoc | $18 | 209% |
| Connecticut Dept of Correction | $25 | 290% |
| Health New England | $31 | 360% |
| Blue Shield - Ny Highmark Western | $32 | 371% |
| Blue Shield - Wa (Regence) | $32 | 371% |
| Unicare | $32 | 371% |
| Blue Shield - Ny Highmark Northeastern | $32 | 371% |
| Blue Distinction Transplant | $32 | 371% |
| Pre-Employment | $32 | 371% |
| Blue Shield - PA (Highmark) | $32 | 371% |
| Health Choices | $32 | 371% |
| Blue Benefit Administrators of Massachusetts | $32 | 371% |
| Kaiser Domestic | $32 | 371% |
| Wc Domestic | $32 | 371% |
| Blue Shield - Id (Regence) | $32 | 371% |
| Blue Care Network | $32 | 371% |
| Bcn Domestic | $32 | 371% |
| Blue Shield - Ca | $32 | 371% |
| Pai | $39 | 452% |
| Lifetime Benefit Solutions | $39 | 452% |
| International Benefit Administrators | $39 | 452% |
| Christian Care Ministry | $39 | 452% |
| Mvp | $39 | 452% |
| Allied National Global Care | $39 | 452% |
| Medi Share | $39 | 452% |
| PHCS | $39 | 452% |
| Manhattan Life | $39 | 452% |
| Pan-American Life | $39 | 452% |
| Multiplan | $39 | 452% |
| Ghc Scw | $39 | 452% |
| Dean Health | $39 | 452% |
| Family Life Insurance Company | $39 | 452% |
| Trinity Health Share | $39 | 452% |
| Asrm - Reliance Standard Life Insurance | $39 | 452% |
| Paramount HMO | $39 | 452% |
| Prime Health Services | $46 | 534% |
| Connecticare | $47 - $52 | 545% |
| Health Smart | $49 | 568% |