CMS Price Transparency Data

Blood test, calcium

Facility: Grossmont Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $69
Cash Discount Price: $85
vs. Medicare Baseline: 13.37x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Grossmont Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 13.37x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $85 (1647%)

Insurance Median: $69 (1337%)

Cash: $85 (1647% of Medicare)

Ins. Median: $69 (1337% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1337% of the Medicare baseline (a markup of 1237%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$1 - $72	19%
Blue Shield	$1 - $90	19%
Health Net	$17 - $111	329%
Interplan	$17	329%
Humana	$31	601%
Aetna	$34 - $626	659%
Allianz Global Assistance	$34	659%
Indian Health Council	$34	659%
Molina	$34 - $79	659%
Epic Americas	$38 - $102	736%
Multiplan	$38 - $54	736%
Cigna	$63 - $164	1221%
Medi-Cal	$63	1221%
UnitedHealthcare	$68 - $87	1318%
County Medical Services	$69	1337%
Managed Health Network	$74	1434%
San Diego Pace	$76	1473%
California Health And Wellness	$78	1512%
Community Health Group	$79 - $93	1531%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $85.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82310.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Grossmont Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82310.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.