CMS Price Transparency Data

Blood test, calcium

Facility: Medical Center Enterprise

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $5
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Medical Center Enterprise is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 0.97x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $88 (1705%)
Insurance Median: $5 (97%)
Cash: $88 (1705% of Medicare)
Ins. Median: $5 (97% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $3 - $4 58%
Bc Pml $4 78%
Node Champva $4 78%
Tricare $4 78%
Aetna $5 - $315 97%
Al Maternity Waiver Program $5 97%
Blue Cross Blue Shield $5 - $6 97%
Covenant Hospice $5 97%
Dayspring Hospice $5 97%
Eon Health $5 97%
Healthspring $5 97%
Humana $5 97%
Medicare (plans) $5 97%
Node Clover Mcr Adv $5 97%
Node Devoted Health Mcr Adv $5 97%
Node Hospice Non Par $5 97%
Node Va $5 97%
Node Wellcare Mcr Adv $5 97%
Occunet $5 97%
Select Health $5 97%
Southerncare Hospice $5 97%
UnitedHealthcare $5 97%
Veterans Eval Services $5 97%
Wiregrass Hospice $5 97%
Node Us Dept Of Labor $6 116%
Ambetter / Centene $8 155%
Cigna $9 - $47 174%
Self Pay $41 - $135 795%
American Employee Alliance $180 3488%
Alamed $270 5233%
Affordable Health $315 6105%
Health Choice $315 6105%
Novanet Ppo $315 6105%
Coventry Work Comp Al $331 6415%
Multiplan $333 - $356 6453%
Wc Dept Ind Relations $360 6977%
Corvel $383 7422%
Galaxy Health $405 7849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals