CMS Price Transparency Data

Blood test, calcium

Facility: Southern Regional Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $5
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Southern Regional Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 0.97x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (97%)
Insurance Median: $5 (97%)
Cash: $5 (97% of Medicare)
Ins. Median: $5 (97% 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
Aetna $3 - $5 58%
Americas Choice Provider Network $5 97%
Blue Cross Blue Shield $5 97%
Caresource $5 - $7 97%
Cigna $5 - $9 97%
Clear Spring Health Plan $5 97%
Corvel $5 97%
Devoted Health $5 97%
Georgia Workers’ Compensation $5 97%
Humana $5 - $10 97%
Medicare (plans) $5 97%
Multiplan $5 97%
Novanet $5 97%
Peach State $5 - $7 97%
Prime Health Services $5 97%
Provider Select $5 97%
Riverwood Behavioral Health $5 - $6 97%
Sonder Health Plan $5 97%
Three Rivers $5 97%
Tricare $5 97%
UnitedHealthcare $5 97%
Wellcare $5 - $7 97%
Amerihealth Caritas $7 136%
Employer Direct Healthcare $7 136%
Medicaid / KanCare $7 136%
Oscar Health Plan $7 136%
Centurion $8 155%
Naphcare $8 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals