CMS Price Transparency Data

Blood test, calcium

Facility: Adventist Health Tehachapi Valley

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $6
Cash Discount Price: $16
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Adventist Health Tehachapi Valley is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.16x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$16

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: $16 (310%)

Insurance Median: $6 (116%)

Cash: $16 (310% 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.

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
Kaiser Ip/Op Only- All Other Plans	$1 - $37	19%
Network Providers- All Plans	$1 - $27	19%
Ah Employee Health Plan - All Plans	$2 - $60	39%
Blue Cross Blue Shield	$2 - $65	39%
Blue Shield Epn- All Other Plans	$2 - $48	39%
Blue Shield Non-Epn	$2 - $56	39%
Centivo - All Plans	$2 - $48	39%
Klhp-Kern Legacy Epo -All Other Plans	$2 - $56	39%
UnitedHealthcare	$2 - $55	39%
Western Grwrs/Pinnacle - All Plans	$2 - $47	39%
Cigna	$3 - $88	58%
Healthnet- All Other Plans	$3 - $87	58%
Bc Mcal	$4 - $6	78%
Coventry- All Plans	$4 - $102	78%
Healthnet Medi-Cal	$4 - $7	78%
Kaiser Medi-Cal Ip/Op Only	$4 - $6	78%
Khs-Kern Hlth Systm Mcal	$4 - $8	78%
Medi-Cal	$4 - $6	78%
Universal Ipa Mcal Op/Profee Only	$4 - $6	78%
Oscar Health Plan- All Plans	$8	155%
Healthnet Mcare	$21	407%
Medicare (plans)	$21	407%
Tricare	$21	407%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$21	407%
Aetna	$30	581%

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 $16.
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 Tehachapi Valley 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.