CMS Price Transparency Data

Blood test, calcium

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $83
  • Cash Discount Price: $496
  • vs. Medicare Baseline: 16.09x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at HCA Healthone Presbyterian St Luke's is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $496. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 16.09x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.
Cash / Self-Pay
$496

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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: $496 (9612%)
Insurance Median: $83 (1609%)
Cash: $496 (9612% of Medicare)
Ins. Median: $83 (1609% 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 1609% of the Medicare baseline (a markup of 1509%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Cigna $3 - $458 58%
UnitedHealthcare $4 78%
Aetna $5 - $378 97%
Blue Cross Blue Shield $5 - $529 97%
Bright Health $5 - $215 97%
Delaware Life Insurance $5 97%
Devoted Health $5 97%
Humana $5 97%
Innovage Pace $5 97%
Kaiser $5 - $186 97%
Kaiser National Transplant $5 - $343 97%
Mutual Of Omaha $5 97%
Rocky Mountain Health $5 97%
Rocky Mountain Health Plan $5 97%
Total Longterm Care $5 97%
Triwest Health Alliance $5 97%
United $5 - $322 97%
Wellcare $5 97%
Pinnacol Workers Comp $14 271%
Multiplan $15 - $644 291%
Vail Health $42 - $109 814%
Emerging Therapy Solutions $133 - $458 2578%
Colorado Program For Children With Special Needs $141 - $365 2733%
Western Plains Community Health $180 - $465 3488%
Northcare $194 - $501 3760%
Physician Health Partners $194 - $501 3760%
Medical Development International $222 - $572 4302%
Prime Health $249 - $644 4826%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1719 E 19Th Ave, Denver, CO 80218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals