CMS Price Transparency Data
Blood test, calcium
Facility: Whittier Hospital Medical Center
Billing Code: 82310 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82310
- Insurance Median: $7
- Cash Discount Price: $10
- vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Whittier Hospital Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.36x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$10
Average discount available for prompt cash payment at this facility.
Insurance Median
$7
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: $10 (194%)
Insurance Median: $7 (136%)
Cash: $10 (194% of Medicare)
Ins. Median: $7 (136% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Physician Healthways | $1 - $19 | 19% |
| Physicians Healthways Medical Corporation | $3 - $47 | 58% |
| Ahmc Medi-Cal Reciprocity Agreement | $4 | 78% |
| Ahmc Reciprocity | $4 - $56 | 78% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4 - $56 | 78% |
| Aids Healthcare Foundation | $4 - $5 | 78% |
| Allied Physicians | $4 - $8 | 78% |
| Alta Med Health Network | $4 - $5 | 78% |
| Altamed Health Services Corporation | $4 | 78% |
| Beverly Hospital | $4 - $6 | 78% |
| Brand New Day | $4 - $6 | 78% |
| Emanate Health | $4 - $6 | 78% |
| Health Net | $4 - $112 | 78% |
| Healthy Way La | $4 | 78% |
| Heritage Provider Network | $4 - $7 | 78% |
| Kaiser Foundation | $4 - $132 | 78% |
| La Care Healthy Families/Healthy Kids | $4 | 78% |
| Non Contracted Medi-Cal | $4 | 78% |
| Pacific Independent Physician Association | $4 - $56 | 78% |
| Prospect Health Plan | $4 - $8 | 78% |
| Synermed | $4 - $5 | 78% |
| Veterans Administration | $4 | 78% |
| Wear And Wood | $4 - $75 | 78% |
| Aetna | $5 - $137 | 97% |
| Alignment Health Plan | $5 | 97% |
| Alta Los Angeles Hospitals Inc | $5 | 97% |
| Apa/Aco Inc | $5 | 97% |
| Avanti | $5 - $6 | 97% |
| Blue Cross Blue Shield | $5 - $94 | 97% |
| Blue Shield Of California | $5 - $94 | 97% |
| Caloptima | $5 - $6 | 97% |
| Care First Health Plan | $5 | 97% |
| Caremore | $5 | 97% |
| Central Health Plan | $5 | 97% |
| Central Health Plan Of California | $5 - $75 | 97% |
| County Of Los Angeles Dept Of Health Services | $5 | 97% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $5 | 97% |
| Easy Choice Health Plan | $5 | 97% |
| Edward Medical Group | $5 - $66 | 97% |
| Hollywood Presbyterian Adv Med Mcal | $5 | 97% |
| Hollywood Presbyterian Medpoint Mcal | $5 | 97% |
| Humana | $5 | 97% |
| La Care Covered Direct | $5 | 97% |
| La Care Health Plan | $5 - $103 | 97% |
| Medi Caid/ Medi Cal | $5 | 97% |
| Medicare (plans) | $5 | 97% |
| Molina Healthcare Of California | $5 | 97% |
| Molina Medical Center | $5 - $73 | 97% |
| Pacific Alliance Medical Center | $5 | 97% |
| Pacificare Of California | $5 | 97% |
| Private Pay | $5 | 97% |
| Scan Health Plan | $5 | 97% |
| Self-Pay | $5 | 97% |
| UnitedHealthcare | $5 - $164 | 97% |
| Ahmc Health | $6 | 116% |
| Allied Physicians Ipa | $6 - $85 | 116% |
| Applecare Medical Group | $6 | 116% |
| Athens Administrators Ahmc Work Comp | $6 | 116% |
| Chinatown Service Center Pace | $6 | 116% |
| Cigna | $6 | 116% |
| Fmc Los Angeles County | $6 - $141 | 116% |
| Interplan Health Group | $6 | 116% |
| Knox-Keene Act | $6 | 116% |
| Misc 1 | $6 | 116% |
| Monarch Healthplan | $6 | 116% |
| Multiplan Wc | $6 | 116% |
| San Miguel Health Plan | $6 | 116% |
| Tricare | $6 | 116% |
| Prospect Medical | $7 - $103 | 136% |
| Capnet | $8 | 155% |
| Care 1St Health Plan | $8 - $113 | 155% |
| Cost Containment | $8 - $122 | 155% |
| Davita Healthcare Partners | $8 - $122 | 155% |
| Health Net Inc | $8 - $122 | 155% |
| New Horizon Medical Group Inc | $8 - $113 | 155% |
| Universal Care | $8 - $132 | 155% |
| Asi/Flex | $9 - $132 | 174% |
| Healthnet | $9 - $130 | 174% |
| Us Comp Care | $9 - $132 | 174% |
| Value Healthplan Of California | $9 - $132 | 174% |
| Community Care Network | $10 - $141 | 194% |
| Coventry Health Care | $10 - $141 | 194% |
| Coventry Health Care National Network | $10 - $141 | 194% |
| Interplan Corporation | $10 - $141 | 194% |
| Managed Care Administrators | $10 - $141 | 194% |
| Prohealth | $10 - $141 | 194% |
| Multiplan | $11 - $160 | 213% |
| Commercial Non Contract | $13 - $188 | 252% |
| Medi-Cal Sub Acute | $13 - $188 | 252% |
| One Legacy | $13 - $188 | 252% |
| Great-West Healthcare Of California | $2,500 | 48450% |