CMS Price Transparency Data

Blood test, calcium

Facility: Sartori Memorial Hospital, Inc

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $11
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 2.13x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Sartori Memorial Hospital, Inc is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.13x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $31 (601%)
Insurance Median: $11 (213%)
Cash: $31 (601% of Medicare)
Ins. Median: $11 (213% 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 213% of the Medicare baseline (a markup of 113%). 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 $5 - $14 97%
Blue Cross Blue Shield $5 97%
Geha $5 97%
Iowa Total Care $5 97%
Medicaid / KanCare $5 97%
Medicare (plans) $5 97%
UnitedHealthcare $5 - $48 97%
Amish Hospital Aid $7 136%
Oscar $8 155%
Ambetter / Centene $9 174%
Centivo $9 174%
Claimdoc $10 194%
Nova $10 194%
Health Choices $11 213%
Medical Associates $11 213%
Allied Benefit Systems $14 271%
Asr Health Benefits $14 271%
Coventry $14 271%
First Health $14 271%
Lucent Health $14 271%
Luminare Health $14 271%
Medical Mutual $14 271%
Meritain $14 271%
Webtpa $14 271%
Health Partners $16 310%
Auxiant $34 659%
Cigna $34 659%
Medica $34 659%
Midlands $34 659%
Midlands Choice $34 659%
Iowa Dept Of Public Health $48 930%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals