CMS Price Transparency Data

Blood test, calcium

Facility: Mercyone Newton Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $10
  • Cash Discount Price: $238
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Mercyone Newton Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.94x the Medicare baseline. Located in 204 N 4Th Ave E, Newton, IA.
Cash / Self-Pay
$238

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $238 (4612%)
Insurance Median: $10 (194%)
Cash: $238 (4612% of Medicare)
Ins. Median: $10 (194% 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 $5 - $92 97%
Blue Cross Blue Shield $5 97%
Iowa Total Care $5 97%
Medicaid / KanCare $5 97%
Medicare (plans) $5 97%
UnitedHealthcare $5 - $56 97%
Amish Hospital Aid $7 136%
Centivo $7 136%
Oscar $7 136%
Ambetter / Centene $9 174%
Iowa Dept Of Public Health $9 - $98 174%
Claimdoc $10 194%
Nova $10 194%
Geha $56 1085%
Newton Correctional Facility $64 1240%
Health Choices $74 1434%
Medical Associates $74 1434%
Health Partners $86 1667%
Auxiant $90 1744%
Cigna $90 1744%
Health Alliance $90 1744%
Medica $90 1744%
Midlands $90 1744%
Midlands Choice $90 1744%
1199 National Benefit Fund $92 1783%
Allied Benefit Systems $92 1783%
Asr Health Benefits $92 1783%
Christian Brother Services $92 1783%
Coventry $92 1783%
First Health $92 1783%
Lucent Health $92 1783%
Luminare Health $92 1783%
Medical Mutual $92 1783%
Meritain $92 1783%
Trustmark Small Business Benefits $92 1783%
Webtpa $92 1783%
Crime Victim Assistance $98 1899%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals