CMS Price Transparency Data

Blood test, calcium

Facility: Nemours Children's Hospital, Delaware

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $6
Cash Discount Price: $111
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Nemours Children's Hospital, Delaware is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.16x the Medicare baseline. Located in 1600 Rockland Rd Po Box 269, Wilmington, DE.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $111 (2151%)

Insurance Median: $6 (116%)

Cash: $111 (2151% of Medicare)

Ins. Median: $6 (116% 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.

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
Keystone First Hlth Plan	$1 - $96	19%
Aetna	$2 - $125	39%
Amerihealth Caritas Delaware	$2 - $123	39%
Blue Cross Blue Shield	$2 - $191	39%
Celtic Transplant For De First Health	$2 - $76	39%
Delaware First Health	$2 - $78	39%
Fidelis	$2 - $86	39%
Health Partners	$2 - $84	39%
Kidz Partners	$2 - $82	39%
Priority Partners John Hopkins	$2 - $106	39%
Six Degrees Health Transplant	$2 - $108	39%
UnitedHealthcare	$2 - $135	39%
Upmc	$2 - $86	39%
Wellpoint Maryland	$2 - $80	39%
Ambetter / Centene	$3 - $123	58%
Cigna	$3 - $136	58%
Geisinger Health Plan	$3 - $130	58%
Great West-One Health Plan	$3 - $136	58%
Integra Administrative Group	$3 - $130	58%
National Transplant Network (Ntn)	$3 - $140	58%
Six Degrees Health	$3 - $140	58%
Star Healthcare Network	$3 - $140	58%
Life Trac Solid Organ And Bmt Transplant	$4 - $151	78%
Carefirst Md Community Health Plan	$5	97%
Celtic Transplant	$5 - $216	97%
First Health Network	$5 - $205	97%
Insurance Administrators Of America	$5 - $205	97%
Interlink Transplant Network	$5 - $205	97%
Multiplan	$5 - $205	97%
Preferred Healthcare	$5 - $205	97%
Private Healthcare Systems	$5 - $205	97%
Three Rivers Provider Network	$5 - $205	97%
Tricare	$5	97%
Us Family Health Plan	$6	116%

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 $111.
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 Nemours Children's Hospital, Delaware 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.