CMS Price Transparency Data

Blood test, calcium

Facility: Adventist Health Reedley

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $9
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Adventist Health Reedley is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.74x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $25 (484%)
Insurance Median: $9 (174%)
Cash: $25 (484% of Medicare)
Ins. Median: $9 (174% 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
Bc Mcal $2 39%
Blue Shield Epn - All Other Plans $2 - $103 39%
Blue Shield Non Epn $2 - $119 39%
Healthnet- All Other Plans $2 - $101 39%
Kaiser - All Other Plans $2 - $116 39%
UnitedHealthcare $2 - $98 39%
Western Growers/Pinnacle- All Plans $2 - $107 39%
Cigna $3 - $151 58%
Physicians Med Group Op/Profee Only- All Plans $3 - $186 58%
Cal Viva Hlth Mcal - All Plans $4 - $6 78%
Community Care Ipa Mcal-All Plans $4 - $8 78%
Dignity Mcal Op/Profee Only-All Other Plans $4 - $6 78%
Kern Health Systems Mcal-All Plans $4 - $6 78%
Medi-Cal $4 - $6 78%
Blue Shield Mcare $5 97%
Dignity Mcr Adv Op/Profee Only $5 97%
Fhcn Pace Mcr Adv-All Plans $5 97%
Healthnet- Mcr Adv $5 97%
Kaiser Mcr Adv $5 97%
Phs Prime Health Srvcs $5 97%
Tricare $5 97%
Bright Health Mcr Adv - All Plans $8 155%
Aetna $9 - $30 174%
Ah Employee Health Plan - All Plans $9 174%
Healthnet Medi-Cal $15 - $35 291%
Blue Cross Blue Shield $23 - $66 446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals