CMS Price Transparency Data

Blood test, calcium

Facility: Marion Communtiy Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $70
  • Cash Discount Price: $592
  • vs. Medicare Baseline: 13.57x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Marion Communtiy Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $592. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 13.57x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$592

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $592 (11473%)
Insurance Median: $70 (1357%)
Cash: $592 (11473% of Medicare)
Ins. Median: $70 (1357% 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 1357% of the Medicare baseline (a markup of 1257%). 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
American Health Plan $5 97%
Avmed $5 - $322 97%
Blue Cross Blue Shield $5 97%
Devoted Health $5 97%
Freedom Optimum $5 97%
Humana $5 - $230 97%
Ndms Definitive Care $5 97%
Sunshine State $5 97%
United $5 - $517 97%
Va Purchased Care Program $5 97%
Veterans Evaluation Services $5 97%
Wellcare $5 97%
Wellmed $5 97%
Aetna $6 - $345 116%
Align Senior Care $6 116%
Careplus $6 116%
Centurion $6 116%
Cigna $6 116%
Clear Spring Health $6 116%
Florida Complete Care $6 116%
Gold Kidney Of Florida $6 116%
Longevity Health Plan $6 116%
Secur $6 116%
Simply Healthcare $6 116%
Ultimate Health Plan $6 116%
Naphcare $11 - $12 213%
University Ma Federal Corrections $11 213%
Wellpath $11 - $12 213%
Simply $36 - $177 698%
Corvel Corporation $41 795%
Prime Health $42 814%
Careworks (Rockport Community) $43 833%
Marion County Schools $43 833%
Molina Healthcare $44 - $368 853%
Evolutions $53 - $264 1027%
Evolutions Healthcare $53 - $264 1027%
Sunshine State Health Plan $59 - $293 1143%
Plotkin Health $116 - $574 2248%
Prime Health Sheriff $116 - $574 2248%
Multiplan $181 - $896 3508%
Ppo Next $197 - $977 3818%
Novanet $209 - $1,034 4050%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals