CMS Price Transparency Data

Blood test, calcium

Facility: St Marys Good Samaritan Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $24
Cash Discount Price: $57
vs. Medicare Baseline: 4.65x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at St Marys Good Samaritan Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 4.65x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$24

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: $57 (1105%)

Insurance Median: $24 (465%)

Cash: $57 (1105% of Medicare)

Ins. Median: $24 (465% 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 465% of the Medicare baseline (a markup of 365%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup	$6	116%
Blue Cross Blue Shield	$17 - $64	329%
Aetna	$24 - $70	465%
Ambetter / Centene	$24	465%
Care Improvement Plus	$24	465%
Caresource	$24	465%
Cigna	$24 - $72	465%
Coventry	$24 - $66	465%
Eon Health Plan	$24	465%
Humana	$24 - $66	465%
Kaiser Permanente	$24	465%
Molina	$24	465%
Pruitthealth Premier	$24	465%
Todays Options Pffs	$24	465%
Todays Options Ppo	$24	465%
UnitedHealthcare	$24 - $2,632	465%
Vaccn United	$24	465%
Wellcare	$24	465%
First Health	$66	1279%
Phcs	$66	1279%
Meritain	$70	1357%
Multiplan	$75 - $77	1453%
Nova	$75 - $79	1453%
Three Rivers Provider Network	$79	1531%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $57.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82310.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Marys Good Samaritan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82310.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.