CMS Price Transparency Data

Blood test, calcium

Facility: Franklin General Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $29
Cash Discount Price: $59
vs. Medicare Baseline: 5.62x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Franklin General Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 5.62x the Medicare baseline. Located in 1720 Central Avenue East, Hampton, IA.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$29

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: $59 (1143%)

Insurance Median: $29 (562%)

Cash: $59 (1143% of Medicare)

Ins. Median: $29 (562% 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 562% of the Medicare baseline (a markup of 462%). 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
UnitedHealthcare	$3 - $57	58%
Wellmark Hmo	$20	388%
Wellmark Ppo - All Other Plans	$23	446%
Amerigroup Mcare	$25 - $27	484%
Medical Associates Mcare	$25 - $27	484%
Mount Carmel Hp-All Plans	$25 - $27	484%
Tricare	$25 - $27	484%
Wellmark Mcr Adv	$25 - $27	484%
Ambetter / Centene	$26 - $44	504%
American Hp Iowa - All Plans	$26 - $29	504%
Molina Mcare	$26 - $28	504%
Amerigroup Mcaid - All Other Plans	$27 - $29	523%
Molina Mcaid - All Other Plans	$27 - $29	523%
Centivo - All Plans	$38 - $41	736%
Medical Ass Hosp Employer Group	$38 - $41	736%
Oscar - All Plans	$38 - $41	736%
Midlands Choice-All Plans	$44 - $48	853%
Medical Associates Hp-All Other Plans	$54 - $58	1047%
Preferred Health Choices-All Plans	$54 - $58	1047%
Splashlight Llc-All Plans	$54 - $58	1047%
Aetna	$59 - $65	1143%
Multiplan-All Plans	$60 - $65	1163%

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 $59.
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 Franklin General 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.