CMS Price Transparency Data

Blood test, calcium

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $50
Cash Discount Price: Unavailable
vs. Medicare Baseline: 9.69x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Intermountain Health St. Mary's Regional Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 9.69x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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%)

Insurance Median: $50 (969%)

Ins. Median: $50 (969% 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 969% of the Medicare baseline (a markup of 869%). 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
Geha	$5 - $61	97%
Select Health	$5	97%
UnitedHealthcare	$5 - $61	97%
Blue Cross Blue Shield	$12 - $26	233%
Monument Health	$33 - $34	640%
Cigna	$41 - $49	795%
Allegiance	$47 - $49	911%
Aetna	$50 - $61	969%
Kaiser Perm Ppo/Pos	$54 - $56	1047%
Meritain Health	$55 - $57	1066%
Humana	$58 - $60	1124%
Cofinity	$59 - $61	1143%
First Health Network	$59 - $61	1143%
Private Hlthcare Sys	$62 - $64	1202%
Public Employees Health	$64 - $67	1240%

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 $X.
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 Intermountain Health St. Mary's Regional Hospital 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.