CMS Price Transparency Data

Blood test, calcium

Facility: Craig Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $649
  • Cash Discount Price: $359
  • vs. Medicare Baseline: 125.78x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Craig Hospital is $649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 125.78x the Medicare baseline. Located in 3425 S Clarkson St, Englewood, CO.
Cash / Self-Pay
$359

Average discount available for prompt cash payment at this facility.

Insurance Median
$649

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: $359 (6957%)
Insurance Median: $649 (12578%)
Cash: $359 (6957% of Medicare)
Ins. Median: $649 (12578% 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 12578% of the Medicare baseline (a markup of 12478%). 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
Veterans Administration $4 78%
Cms $5 97%
UnitedHealthcare $5 - $470 97%
Cigna $477 9244%
Kaiser $491 9516%
Blue Cross Blue Shield $501 9709%
Carisk Outcomes $519 10058%
Zenith $563 10911%
Aetna $589 11415%
Corvel Worker'S Comp $606 11744%
Liberty Mutual Worker'S Comp $606 11744%
Paradigm $606 - $641 11744%
Rocky Mountain Health Plan $632 - $675 12248%
Midwest Employers Casualty $641 12422%
Coventry/First Health $649 12578%
Fcci Worker'S Comp $649 12578%
Geha/Ppo Usa $649 12578%
Great-West Healthcare $649 12578%
Multiplan/Phcs $649 - $684 12578%
Prime Health Services $658 12752%
First Choice Health $675 13081%
Focus Worker'S Comp $693 13430%
General Reinsurance $693 - $736 13430%
Provider Network Of America $693 13430%
Three Rivers Provider Network $693 - $710 13430%
Wyoming Worker'S Comp $693 13430%
Allstate $736 14264%
Tricare $736 14264%
National Provider Network $779 15097%
Up & Up $779 15097%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3425 S Clarkson St, Englewood, CO 80113
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL