Culture, bacterial
Facility: Boston Medical Center
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $9
- Cash Discount Price: $42
- vs. Medicare Baseline: 1.04x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $7 - $8 | 81% |
| Wellsense Alli ACO [1118] | $8 | 93% |
| Oxford Health [1007] | $8 | 93% |
| Mass General Brigham Health Plan McD Mnged [1107] | $8 | 93% |
| Corrections [9001] | $8 - $11 | 93% |
| Tufts Together ACO [1122] | $8 | 93% |
| Mass General Brigham Health Plan ACO [1120] | $8 | 93% |
| United [2025] | $8 - $24 | 93% |
| Oxford Health [2024] | $8 | 93% |
| Wellsense Essential McO [1101] | $8 | 93% |
| Tufts Together McO [1125] | $8 | 93% |
| Fallon Healthcre ACO [1121] | $8 | 93% |
| UnitedHealthcare | $8 - $9 | 93% |
| Zzzunited [1008] | $8 - $24 | 93% |
| Hlth New England ACO [1123] | $8 | 93% |
| Veterans Admin [9003] | $9 | 104% |
| Fallon Sco [1126] | $9 | 104% |
| Blue Cross Blue Shield | $9 - $17 | 104% |
| Zzzcca Onecare [1216] | $9 | 104% |
| Aetna | $9 - $45 | 104% |
| Cca [1215] | $9 | 104% |
| Ubh Hphc [8016] | $9 | 104% |
| Humana | $9 | 104% |
| Neighborhood Pace [1206] | $9 | 104% |
| Wellcare [1240] | $9 | 104% |
| Medicare (plans) | $9 | 104% |
| Tufts [8002] | $9 - $24 | 104% |
| Eternalhealth [1227] | $9 | 104% |
| Zzzcovid19 Hrsa Uninsured Testing and Treatment Fund [500010] | $9 | 104% |
| Wellsense [7001] | $9 | 104% |
| Cigna | $10 - $24 | 116% |
| Champva [9004] | $10 | 116% |
| Tricare | $10 | 116% |
| Senior Whole Health [1210] | $10 | 116% |
| Fallon [8008] | $11 | 128% |
| Tufts Conncare/Qhp [8020] | $11 - $12 | 128% |
| Zzzbu Employee Work Comp [5004] | $12 | 139% |
| Zzzcity of Boston Work Comp [5003] | $12 | 139% |
| Workers Comp [5002] | $12 | 139% |
| Unicare [8004] | $15 | 174% |
| Wellpoint [2034] | $15 | 174% |
| Zzzhealth Plans Inc [1013] | $24 | 278% |
| Health Plans Inc [2027] | $24 | 278% |
| Harvard Pilgrim Health Care [8001] | $24 | 278% |
| Uphams Corner Esp [1213] | $37 | 429% |
| Meritain Health [1023] | $41 | 476% |
| Mass General Brigham Health Plan Commercial [8009] | $50 | 580% |
| Hsn [4001] | $513 | 5951% |
| Hsn Dental [4006] | $513 | 5951% |
| Hsn Partial [4002] | $513 | 5951% |
| Hsn Confidential [4007] | $513 | 5951% |
| Hsn Bad Debt [4003] | $513 | 5951% |