CMS Price Transparency Data

Blood test, calcium

Facility: Mercyone Des Moines Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $104
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 20.16x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Mercyone Des Moines Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 20.16x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $134 (2597%)
Insurance Median: $104 (2016%)
Cash: $134 (2597% of Medicare)
Ins. Median: $104 (2016% 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 2016% of the Medicare baseline (a markup of 1916%). 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 - $5,722 97%
Blue Cross Blue Shield $5 - $6,176 97%
Geha $5 97%
Iowa Total Care $5 - $5,706 97%
Medicaid / KanCare $5 - $5,785 97%
Medicare (plans) $5 - $5,956 97%
UnitedHealthcare $5 - $5,837 97%
Amish Hospital Aid $7 - $7,766 136%
Centivo $7 - $8,426 136%
Oscar $7 - $8,298 136%
Ambetter / Centene $9 - $9,810 174%
Claimdoc $10 - $11,737 194%
Nova $10 - $11,737 194%
Health Choices $35 - $41 678%
Medical Associates $35 - $41 678%
1199 National Benefit Fund $60 - $71 1163%
Allied Benefit Systems $60 - $71 1163%
Asr Health Benefits $60 - $71 1163%
Christian Brother Services $60 - $71 1163%
Coventry $60 - $71 1163%
First Health $60 - $71 1163%
Lucent Health $60 - $71 1163%
Luminare Health $60 - $71 1163%
Medical Mutual $60 - $71 1163%
Meritain $60 - $71 1163%
Trustmark Small Business Benefits $60 - $71 1163%
Webtpa $60 - $71 1163%
Cigna $104 - $124 2016%
Health Partners $110 - $131 2132%
Auxiant $112 - $134 2171%
Medica $112 - $134 2171%
Midlands $112 - $134 2171%
Midlands Choice $112 - $134 2171%
Usa Managed Care $147 - $175 2849%
Crime Victim Assistance $173 - $206 3353%
Iowa Dept Of Public Health $173 - $206 3353%
Blue Benefit Administrators Of Massachusetts $6,176 119690%
Blue Care Network $6,176 119690%
Blue Distinction Transplant $6,176 119690%
Blue Shield - Ca $6,176 119690%
Blue Shield - Id (Regence) $6,176 119690%
Blue Shield - Ny Highmark Northeastern $6,176 119690%
Blue Shield - Ny Highmark Western $6,176 119690%
Blue Shield - Pa (Highmark) $6,176 119690%
Blue Shield - Wa (Regence) $6,176 119690%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals