CMS Price Transparency Data

Blood test, calcium

Facility: Boone County Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $16
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 3.10x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Boone County Hospital is $16. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 3.10x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$16

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: $26 (504%)
Insurance Median: $16 (310%)
Cash: $26 (504% of Medicare)
Ins. Median: $16 (310% 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 310% of the Medicare baseline (a markup of 210%). 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
Va Ccn-All Plans $2 - $3 39%
Aetna $3 - $44 58%
Amerigroup Mcr Adv - All Other Plans $3 - $23 58%
Choice Care Mcr Adv - All Plans $3 - $23 58%
Humana $3 - $51 58%
Iowa Hlth Adv - All Plans $3 - $23 58%
Mt Carmel Hp - All Plans $3 - $23 58%
UnitedHealthcare $3 - $33 58%
Iowa Total Care Mcaid - All Plans $4 - $26 78%
Medicaid / KanCare $4 - $26 78%
Meridian Mcaid - All Plans $4 - $25 78%
Tricare $5 97%
Healthsmart Accell Network $6 - $39 116%
Healthsmart Ppo - All Other Plans $6 - $45 116%
Medical Associates Hp-All Plans $6 - $42 116%
Health Alliance-All Plans $7 - $51 136%
Midlands Choice-All Plans $7 - $52 136%
Mutually Preferred-All Plans $8 - $54 155%
Wellmark Hmo $23 446%
Wellmark Ppo - All Other Plans $25 484%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals