CMS Price Transparency Data

Blood test, calcium

Facility: Adventist Health Mendocino Coast

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $69
Cash Discount Price: $70
vs. Medicare Baseline: 13.37x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Adventist Health Mendocino Coast is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 13.37x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$69

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: $70 (1357%)

Insurance Median: $69 (1337%)

Cash: $70 (1357% of Medicare)

Ins. Median: $69 (1337% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1337% of the Medicare baseline (a markup of 1237%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$5 - $86	97%
Medi-Cal	$6	116%
Partnership Hp Mcal-All Plans	$18	349%
Blue Shield Epn	$40	775%
Blue Cross Blue Shield	$42 - $47	814%
Tricare	$52	1008%
Ah Employee Health Plan - All Plans	$55	1066%
Great West Hmo/Pos/Epo/Oa	$69	1337%
Healthnet - All Plans	$69	1337%
Great West Ppo - All Other Plans	$74	1434%
Multiplan - All Plans	$74	1434%
Blue Shield - All Other Plans	$81	1570%
Cigna	$83	1609%
Ahcc - All Plans	$95	1841%
Beech Street - All Plans	$95	1841%

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 $70.
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 Mendocino Coast 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.