CMS Price Transparency Data

Blood test, calcium

Facility: Saint Agnes Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $31
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 6.01x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Saint Agnes Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 6.01x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $43 (833%)
Insurance Median: $31 (601%)
Cash: $43 (833% of Medicare)
Ins. Median: $31 (601% 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 601% of the Medicare baseline (a markup of 501%). 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.

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
Coventry $1 - $45 19%
Healthnet $1 - $54 19%
St Agnes Nicu Valley Childrens Hospital $1 - $43 19%
Allegiance $2 - $51 39%
American Postal Workers Secondary $2 - $51 39%
Cba Network By Design $2 - $50 39%
Cigna $2 - $51 39%
Interplan $2 - $59 39%
Multiplan $2 - $55 39%
Network Health $2 - $50 39%
Phcs $2 - $55 39%
Aetna $5 - $562 97%
Blue Cross Blue Shield $5 - $1,027 97%
Humana $5 - $110 97%
Medicare (plans) $5 - $113 97%
UnitedHealthcare $5 - $222 97%
Welbe Health $5 - $113 97%
Align Senior Care $6 - $126 116%
Correctcare Integrated Health $6 - $140 116%
Medi-Cal Healthnet $6 - $173 116%
Geha $9 - $185 174%
Kaiser Permanente $9 - $192 174%
Advantek Central Usd $13 - $271 252%
Blue Shield - Ca $15 - $1,027 291%
Meritain $30 - $626 581%
Trustmark Small Business Benefits $30 - $626 581%
Allied Benefit Systems $31 - $112 601%
Boon Chapman $31 - $112 601%
Hap $31 - $112 601%
Webtpa $31 - $112 601%
Blue Benefit Administrators Of Massachusetts $48 - $1,027 930%
Blue Care Network $48 - $1,027 930%
Blue Distinction Transplant $48 - $1,027 930%
Blue Shield - Id (Regence) $48 - $1,027 930%
Blue Shield - Ny Highmark Northeastern $48 - $1,027 930%
Blue Shield - Ny Highmark Western $48 - $1,027 930%
Blue Shield - Pa (Highmark) $48 - $1,027 930%
Blue Shield - Wa (Regence) $48 - $1,027 930%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals