CMS Price Transparency Data

Blood test, calcium

Facility: City of Hope National Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $64
Cash Discount Price: $92
vs. Medicare Baseline: 12.40x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at City of Hope National Medical Center is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 12.40x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$64

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: $92 (1783%)

Insurance Median: $64 (1240%)

Cash: $92 (1783% of Medicare)

Ins. Median: $64 (1240% 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 1240% of the Medicare baseline (a markup of 1140%). 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
Health Net	$3 - $116	58%
Cal Optima	$5 - $6	97%
Heritage Provider Network	$5 - $84	97%
Inland Empire	$6 - $96	116%
Facey	$7	136%
Prime Healthcare Keenan	$9 - $115	174%
UnitedHealthcare	$15 - $67	291%
Blue Cross Blue Shield	$32 - $84	620%
Blue Shield	$38 - $155	736%
Blue Shield Covca	$39 - $73	756%
Blue Shield Promise	$45 - $84	872%
Cencal	$51 - $96	988%
La Care Health	$51 - $96	988%
Kaiser	$57 - $108	1105%
Aetna	$64 - $120	1240%
Gold Coast	$64 - $120	1240%
Molina	$64 - $156	1240%
Cigna	$68 - $129	1318%
Healthcare Partners	$74 - $139	1434%
St. Joseph Heritage	$76 - $144	1473%
Primecare Medical Network	$83 - $156	1609%
First Health	$98 - $185	1899%
Phcs Multiplan	$115 - $216	2229%

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 $92.
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 City of Hope National Medical Center 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.