CMS Price Transparency Data

Blood test, calcium

Facility: Baldwin Health

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $8
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Baldwin Health is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.55x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $76 (1473%)
Insurance Median: $8 (155%)
Cash: $76 (1473% of Medicare)
Ins. Median: $8 (155% 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
First Choice $3 58%
Bc Pml $4 78%
Medicaid / KanCare $4 78%
Node Champva $4 78%
Tricare $4 78%
Aetna $5 - $286 97%
Blue Cross Blue Shield $5 - $7 97%
Cigna $5 - $21 97%
Community Hospice $5 97%
Hospice $5 97%
Humana $5 97%
Medicare (plans) $5 97%
Mercy Medical Hospice $5 97%
Node Clover Health Mcr Adv $5 97%
Node Devoted Health Mcr Adv $5 97%
Node Va $5 97%
Node Wellcare Mcr Adv $5 97%
Select Health $5 97%
Triwest $5 97%
UnitedHealthcare $5 97%
Veterans Eval Services $5 97%
Windsor Health Plan $5 97%
Us Dol $6 116%
Ambetter / Centene $8 155%
Self Pay $57 - $95 1105%
American Employee Alliance $127 2461%
Multiplan $181 - $261 3508%
First Health $239 - $257 4632%
Alamed $243 4709%
Multiplan Inc $243 4709%
Coventry Work Comp Al $249 4826%
One Health $255 4942%
Pro America $255 4942%
Novanet $257 4981%
Alabama Wc $270 5233%
Gulf Health $270 5233%
Principal Ppo $270 5233%
Viva Health $270 5233%
National Health $286 5543%
Galaxy $290 5620%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals