CMS Price Transparency Data

Blood test, calcium

Facility: AHMC Seton Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $6
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at AHMC Seton Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.16x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$156

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $156 (3023%)
Insurance Median: $6 (116%)
Cash: $156 (3023% of Medicare)
Ins. Median: $6 (116% 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
Medi-Cal $4 78%
Veterans Administration (Va) $4 78%
Aetna $5 - $16 97%
Apcmg $5 - $8 97%
Asian American Medical Group $5 - $6 97%
Blue Cross Blue Shield $5 - $148 97%
Blue Shield Of California $5 - $66 97%
Brand New Day $5 - $6 97%
Brown And Toland Medical Group $5 - $6 97%
Canopy Health $5 - $9 97%
Care Advantage $5 97%
Central Health Plan $5 97%
Chinese Community Health Plan $5 - $98 97%
Cmac $5 97%
Covid-19 Uninsured Program $5 97%
Easy Choice Hospital Services $5 97%
For Your Benefit $5 97%
Healthnet Seniority $5 97%
Hill Physicians Medical Group Inc $5 - $6 97%
Humana $5 97%
Imperial Health Plan $5 97%
Jade Health Care Mg $5 - $98 97%
Kaiser $5 - $160 97%
Medicare (plans) $5 97%
North East Medical Services $5 - $6 97%
Pacificare $5 97%
San Mateo County/San Mateo County General Hospital $5 97%
UnitedHealthcare $5 - $10 97%
Ahmc Health $6 116%
Athens Administrators $6 116%
Corvel Healthcare $6 116%
Health Plan Of San Mateo Healthworx $6 116%
Knox-Keene Act $6 116%
Multiplan/Bce Emergis $6 - $146 116%
San Francisco Health Plan $6 116%
Tricare $6 116%
Work Comp Other $6 116%
Health Plan Of San Mateo $7 136%
Workers Compensation Federal $18 349%
Cigna $27 523%
Self Pay $29 - $66 562%
Interplan Corporation $117 2267%
Healthcare Foundation Of San Mateo $136 - $146 2636%
Private Healthcare Sytems Inc $146 2829%
The First Health Network $146 2829%
Health Net $150 2907%
Beech Street Corporation $156 3023%
Choicecare Network $166 3217%
Multiplan $166 3217%
Mills Peninsula Health Services $176 3411%
Indemnity $195 3779%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals