CMS Price Transparency Data

Blood test, calcium

Facility: East Morgan County Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $40
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 7.75x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at East Morgan County Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 7.75x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $31 (601%)
Insurance Median: $40 (775%)
Cash: $31 (601% of Medicare)
Ins. Median: $40 (775% 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 775% of the Medicare baseline (a markup of 675%). 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
Pinnacol Assurance Workers Comp $19 - $24 368%
Aetna $20 - $52 388%
Banner Health $20 - $24 388%
Blue Cross Blue Shield $20 - $42 388%
Clear Spring Health $20 - $24 388%
Healthspring Life & Health Insurance Company, Inc. $20 - $24 388%
Longevity $20 - $25 388%
Medica $20 - $47 388%
Medicare (plans) $20 - $24 388%
Triwest Healthcare Alliance Corp - Va Ccn $20 - $24 388%
UnitedHealthcare $20 - $52 388%
Humana $21 - $26 407%
Devoted Health Services $22 - $26 426%
Assist Health Group $24 - $29 465%
Denver Health Medical Plan $37 - $45 717%
Apostrophe, Inc. $41 - $50 795%
First Choice Health Network $41 - $50 795%
Hue Health, Inc $44 - $53 853%
Rocky Mountain Health Plans $44 - $53 853%
Multiplan $45 - $54 872%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals