CMS Price Transparency Data

Blood test, calcium

Facility: Portneuf Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $81
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 15.70x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Portneuf Medical Center is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 15.70x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $58 (1124%)
Insurance Median: $81 (1570%)
Cash: $58 (1124% of Medicare)
Ins. Median: $81 (1570% 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 1570% of the Medicare baseline (a markup of 1470%). 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 $20 - $81 388%
Healthscope Benefits [2290] $20 388%
UnitedHealthcare $20 - $86 388%
Black Lung [6055] $39 756%
Employee Benefit Management Services [2445] $39 - $58 756%
Healthcare Highways [2210] $39 - $91 756%
Lucent Health [6000] $39 756%
Moda Health [6100] $39 756%
Oncology Patient Assistance Programs [2295] $39 756%
Pending Ssi [1616] $39 756%
Web Tpa [2115] $39 756%
Pacific Source Health Plans [2850] $55 1066%
Liberty Health Share Lhs/Medcost Solutions Llc [2400] $58 1124%
Medishare Christian Care [1645] $58 1124%
Multiplan [1680] $64 - $91 1240%
Worker'S Comp [2125] $70 - $72 1357%
Cigna $71 1376%
Enablecomp [1350] $72 1395%
Transamerican Life [1990] $72 1395%
First Health [1375] $79 1531%
Mailhandlers [1595] $81 1570%
Selecthealth [3740] $81 - $86 1570%
Geha [1415] $86 1667%
Humana $86 1667%
Administrative Concepts [1005] $91 1764%
Healthfirst [2395] $91 1764%
Healthnet [1495] $91 1764%
Hometown Health [2155] $91 1764%
Mayo Clinic Health Solutions [2280] $91 1764%
Meritain Health [1655] $91 1764%
Mutual Of Omaha [1685] $91 1764%
National Association Of Letter Carriers [1695] $91 1764%
New Era Life Insurance Company [1705] $91 1764%
Pan American Life Insurance Co [1770] $91 1764%
Pba [1775] $91 1764%
Phcs [1780] $91 1764%
Planned Administrators Inc [2360] $91 1764%
Trustmark [2030] $91 1764%
Ut Id Teamsters [3760] $91 1764%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hospital Way, Pocatello, ID 83201
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals