CMS Price Transparency Data

Blood test, calcium

Facility: Gulf Breeze Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $12
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 2.33x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Gulf Breeze Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.33x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.
Cash / Self-Pay
$12

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: $12 (233%)
Insurance Median: $12 (233%)
Cash: $12 (233% 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
UnitedHealthcare $1 - $5 19%
Aetna $3 - $57 58%
Cha Health Plan $3 58%
Fl Community Care Ltc $3 58%
Humana $3 - $5 58%
Simply Healthcare Healthy Kids $3 58%
Sunshine Health $3 58%
Wellcare $3 - $5 58%
Hospice Covenant $5 97%
Medicare (plans) $5 97%
Fl Blue $9 - $333 174%
Pensacola $12 233%
Hospice Regency $23 446%
Cigna $37 - $78 717%
Hospice Emerald Coast $39 756%
Wc Corvel $39 - $74 756%
Private Healthcare $51 988%
Uwf Athletes $51 988%
First Health $54 1047%
Choicecare $58 1124%
Multiplan $69 1337%
Bc Fl $208 4031%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals