CMS Price Transparency Data

Blood test, calcium

Facility: Loring Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $20
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 3.88x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Loring Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 3.88x the Medicare baseline. Located in 211 Highland Avenue Po Box 217, Sac City, IA.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $21 (407%)
Insurance Median: $20 (388%)
Cash: $21 (407% of Medicare)
Ins. Median: $20 (388% 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 388% of the Medicare baseline (a markup of 288%). 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
Meritain $5 97%
Bas $8 155%
Aetna $10 - $26 194%
Auxiant $13 252%
Blue_Cross $15 - $26 291%
Champva $15 291%
Health_Partners $15 291%
Admin_Concepts $16 310%
UnitedHealthcare $18 - $26 349%
Va $19 368%
Champus $20 388%
Healthscope $23 446%
Humana $23 - $26 446%
Midlands_Choice $24 465%
Cigna $25 484%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Highland Avenue Po Box 217, Sac City, IA 50583
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals