CMS Price Transparency Data

Blood test, calcium

Facility: North Shore Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $7
  • Cash Discount Price: $349
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at North Shore Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $349. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.36x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$349

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $349 (6764%)
Insurance Median: $7 (136%)
Cash: $349 (6764% of Medicare)
Ins. Median: $7 (136% 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.

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 - $174 58%
Humana $3 - $139 58%
Medicaid / KanCare $3 - $349 58%
UnitedHealthcare $3 - $5 58%
Avmed Broad Network $4 78%
Veterans Administration Mill Bill $4 78%
Aetna $5 - $251 97%
Devoted Health $5 97%
Employer Direct Healthcare $5 - $6 97%
Healthsun Health Plans $5 97%
Hospice Other $5 97%
Leon Health Inc $5 97%
Longevity Health Plan $5 97%
Medicare (plans) $5 - $349 97%
Tricare $5 97%
Veterans Administration Vaccn $5 97%
Bright Health Management Commercial $6 116%
Centurion Prison $6 116%
Florida Pace Centers $6 116%
Imagine Health $6 116%
Oscar Health Plan Hix $6 116%
Self Pay/Uninsured $6 116%
Dimension Health Wc $7 136%
Workers Compensation $7 136%
Avmed Exchange $9 174%
Ambetter / Centene $10 194%
Auto Insurance $10 194%
Molina Marketplace Program Exchange $10 194%
Amerihealth Caritas Next Exchange $11 213%
Avmed Select Network $11 213%
Bc/Bs Myblue Hmo Hix $43 833%
Bc/Bs Of Fl Network Blue $46 891%
Bc/Bs Of Fl Ppo $46 891%
Bc/Bs Of Fl Simplyblue $46 891%
Bc/Bs Of Fl Blue Select Exchange Non Par $50 969%
Bc/Bs Of Fl Health Options Hmo $50 969%
Bc/Bs Of Fl Phs $181 3508%
Magellan Behavioral Health $209 4050%
Dimensions International $227 4399%
First Health $237 4593%
Dimension Health Ppo $262 5078%
Beacon Health Strategies Commercial $349 6764%
Commercial Non-Contracted $349 6764%
Self Pay - Mcd Pending 100 Percent $349 6764%
Single Case Agreement $349 6764%
United Behavioral Health Psych $349 6764%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals