Culture, bacterial
Facility: Hillcrest Medical Center
Billing Code: 87070 (CPT)
- CPT Billing Code: 87070
- Insurance Median: $436
- Cash Discount Price: $230
- vs. Medicare Baseline: 50.58x 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 5058% of the Medicare baseline (a markup of 4958%). 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 |
|---|---|---|
| Hooray Health [8000] | $192 | 2227% |
| Healthcare Highways [2210] | $192 - $296 | 2227% |
| Oncology Patient Assistance Programs [2295] | $192 | 2227% |
| Lucent Health [6000] | $192 | 2227% |
| Oscar Insurance Company [7005] | $192 | 2227% |
| Osma Health Network [2345] | $192 | 2227% |
| Black Lung [6055] | $192 | 2227% |
| Healthscope Benefits [2290] | $244 | 2831% |
| UnitedHealthcare | $244 | 2831% |
| Web Tpa [2115] | $296 | 3434% |
| Resource One Administrators [2815] | $296 | 3434% |
| The Kempton Group Administrators [2905] | $345 | 4002% |
| National Association of Letter Carriers [1695] | $398 | 4617% |
| Pba [1775] | $398 | 4617% |
| Medica [2910] | $436 | 5058% |
| Multiplan [1680] | $436 - $660 | 5058% |
| Employee Benefit Management Services [2445] | $560 | 6497% |
| PHCS [1780] | $560 - $660 | 6497% |
| Mayo Clinic Health Solutions [2280] | $660 | 7657% |
| Administrative Concepts [1005] | $660 | 7657% |
| Allied Benefit Systems Inc [1030] | $660 | 7657% |
| Universal Fidelity [2085] | $660 | 7657% |
| Mutual of Omaha [1685] | $660 | 7657% |
| Planned Administrators Inc [2360] | $660 | 7657% |
| Healthcost Solutions [2415] | $660 | 7657% |
| Pan American Life Insurance Co [1770] | $660 | 7657% |
| Hometown Health [2155] | $660 | 7657% |
| Trustmark [2030] | $660 | 7657% |
| New Era Life Insurance Company [1705] | $660 | 7657% |
| Allied National Global Care [1035] | $660 | 7657% |
| Healthfirst [2395] | $660 | 7657% |
| Pending Ssi [1616] | $767 | 8898% |