Culture, bacterial
Facility: Ohio Valley Surgical Hospital
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $21,590
- Cash Discount Price: $73
- vs. Medicare Baseline: 2504.64x 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 250464% of the Medicare baseline (a markup of 250364%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $3 - $73,197 | 35% |
| UnitedHealthcare | $10 - $32,489 | 116% |
| Pacific Source | $12 - $39,629 | 139% |
| Ngs Coresource | $12 - $39,629 | 139% |
| Meritain Heatlh | $12 - $39,629 | 139% |
| Nippon Life | $12 - $39,629 | 139% |
| Mhbp | $12 - $39,629 | 139% |
| Meritain | $12 - $39,629 | 139% |
| Mail Handlers | $12 - $39,629 | 139% |
| Personify Health | $12 - $39,629 | 139% |
| Aetna | $12 - $39,629 | 139% |
| Geha | $12 - $39,629 | 139% |
| Genworth | $12 - $39,629 | 139% |
| Mmoh | $55 - $21,590 | 638% |
| Mmoh (Supermed) | $56 - $57 | 650% |
| Mmo Cin. HMO | $56 - $77 | 650% |
| Medicare (plans) | $73 - $22,279 | 847% |
| Ohio Health | $110 | 1276% |
| Luminare Health | $110 | 1276% |
| Preferred Health | $110 | 1276% |
| Medben | $110 | 1276% |
| Champus | $21,590 | 250464% |
| Gateway Health Plan | $21,590 | 250464% |
| Molina McR+McD | $21,590 | 250464% |
| Everest | $21,590 | 250464% |
| American Continental Life | $21,590 | 250464% |
| Aarp | $21,590 | 250464% |
| Molina | $21,590 | 250464% |
| Molina Marketplace | $21,590 | 250464% |
| Self Pay Imaging | $21,590 | 250464% |
| Cigna | $21,590 - $34,863 | 250464% |
| Aultcare Primetime Health Plan | $21,590 | 250464% |
| Central States | $21,590 | 250464% |
| Molina McR | $21,590 | 250464% |
| Prosperity Supplement | $21,590 | 250464% |
| American Republic | $21,590 | 250464% |
| Wraparound Pl Supp | $21,590 | 250464% |
| Communicare Advantage | $21,590 | 250464% |
| Aarp Supplemental | $21,590 | 250464% |
| American Continental Insurance | $21,590 | 250464% |
| Bankers Fidelity | $21,590 | 250464% |
| Medigold | $21,590 | 250464% |
| Bankers Life and Casualty | $21,590 | 250464% |
| Molina McR McD | $21,590 | 250464% |
| Molina Dual McR | $21,590 | 250464% |
| Wellcare By Allwell | $21,590 | 250464% |
| Patient No Pay | $21,590 | 250464% |
| Molina Dual McR | $21,590 | 250464% |
| American Retirement | $21,590 | 250464% |
| Humana | $22,605 | 262239% |
| The Health Plan | $22,670 | 262993% |
| Devoted Health | $25,995 | 301566% |
| Employer Direct | $27,489 | 318898% |
| Ushealth | $31,917 | 370267% |
| Oxford | $31,917 | 370267% |
| Golden Rule | $31,917 | 370267% |
| Shl | $31,917 | 370267% |
| Medica | $31,917 | 370267% |
| Surest | $31,917 | 370267% |
| Medicaid / KanCare | $32,385 | 375696% |
| Caresource | $32,385 | 375696% |
| Caresourse | $32,385 | 375696% |
| Samba | $34,863 | 404443% |
| Healthgram | $34,863 | 404443% |
| Nalc | $34,863 | 404443% |
| Unified Group | $34,863 | 404443% |
| Sbma | $34,863 | 404443% |