CMS Price Transparency Data

Blood test, calcium

Facility: HCA Florida Highlands Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $12
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 2.33x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at HCA Florida Highlands Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.33x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $134 (2597%)
Insurance Median: $12 (233%)
Cash: $134 (2597% of Medicare)
Ins. Median: $12 (233% 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 233% of the Medicare baseline (a markup of 133%). 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
Avmed $1 - $79 19%
Aetna $2 - $47 39%
Humana $2 - $63 39%
Office Of Sheiff Highland Co $2 - $55 39%
United $2 - $71 39%
United Ppo $2 - $70 39%
American Health Plan $5 97%
Blue Cross Blue Shield $5 97%
Devoted Health $5 97%
Ndms Definitive Care $5 97%
Prominence Healthfirst $5 97%
Sunshine State $5 - $6 97%
Wellmed $5 97%
Amerihealth Caritas $6 116%
Centurion $6 116%
Cigna $6 116%
Florida Complete Care $6 116%
Longevity Health Plan $6 116%
Oscar $10 194%
Freedom Health $12 - $14 233%
Simply Healthcare $12 233%
Molina $25 - $30 484%
Prime Health $40 775%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals