CMS Price Transparency Data

Blood test, calcium

Facility: Adventist Health Tulare

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $9
Cash Discount Price: $42
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Adventist Health Tulare is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.74x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $42 (814%)

Insurance Median: $9 (174%)

Cash: $42 (814% 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.

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
Blue Cross Blue Shield	$1 - $52	19%
Blue Shield Epn	$1 - $74	19%
Blue Shield-All Other Plans	$2 - $102	39%
Cigna	$2 - $108	39%
Western Growers - All Plans	$2 - $107	39%
Hs Interplan-All Plans	$3 - $156	58%
Multiplan - All Plans	$3 - $198	58%
Network By Design-All Plans	$3 - $151	58%
UnitedHealthcare	$3 - $169	58%
Ccipa Medi-Cal - All Plans	$4 - $8	78%
Dignity Mcal Op Only	$4 - $6	78%
Healthnet Medi-Cal	$4 - $8	78%
Independence Op Only - All Plans	$4 - $6	78%
Medi-Cal	$4 - $6	78%
Blue Shield Mcare	$5	97%
Dignity Mcr Op Only - All Other Plans	$5	97%
Fhcn Pace Mcr Adv - All Plans	$5	97%
Medicare (plans)	$5	97%
Prime Health - All Plans	$5	97%
Tricare	$5	97%
Bright Health - All Plans	$7	136%
Cal Forensic Med Grp - All Plans	$7	136%
Prison Hlthcre - All Plans	$7	136%
Ah Employee Health Plan - All Plans	$9	174%
Incentive Hlth - All Plans	$9	174%
Healthnet Hmo/Ppo - All Other Plans	$14	271%
Aetna	$45	872%

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 $42.
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 Adventist Health Tulare 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.