CMS Price Transparency Data

Blood test, calcium

Facility: Fishermen's Community Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $48
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 9.30x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Fishermen's Community Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 9.30x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $55 (1066%)
Insurance Median: $48 (930%)
Cash: $55 (1066% of Medicare)
Ins. Median: $48 (930% 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 930% of the Medicare baseline (a markup of 830%). 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
Aetna $3 - $64 58%
Amerigroup $3 58%
Medicaid / KanCare $3 58%
Sunshine State $3 58%
UnitedHealthcare $3 - $84 58%
Vista $3 58%
Wellcare $3 58%
Blue Cross Blue Shield $14 - $84 271%
Leon Medical $18 349%
Medica Health Plan $18 349%
Medicare (plans) $18 - $24 349%
Avmed $19 - $70 368%
Humana $19 368%
Cigna $20 - $67 388%
Non Contracted $31 601%
International $55 1066%
Amerihealth $63 1221%
Dimension Health Plan $63 - $76 1221%
Affordable $76 1473%
Phcs $76 1473%
Quality Health $76 1473%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Overseas Hwy, Marathon, FL 33050
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals