CMS Price Transparency Data

Blood test, calcium

Facility: Kootenai Health

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $11
Cash Discount Price: $51
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Kootenai Health is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.13x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $51 (988%)

Insurance Median: $11 (213%)

Cash: $51 (988% of Medicare)

Ins. Median: $11 (213% 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 213% of the Medicare baseline (a markup of 113%). 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 - $61	58%
Magellan	$4 - $6	78%
Wellpoint	$4 - $6	78%
Aetna	$5 - $56	97%
Blue Cross Blue Shield	$5 - $61	97%
Coordinated Care Of Washington	$5	97%
Humana	$5	97%
Molina Healthcare Of Idaho	$5 - $25	97%
Molina Healthcare Of Washington	$5	97%
Pacificsource	$5 - $11	97%
Premera	$5 - $42	97%
Regence Blue Shield Of Idaho	$5	97%
Group Health/Kaiser	$19	368%
Mountain Health Co-Op	$53	1027%
Cigna	$56 - $57	1085%
First Choice Health (Ameriben)	$58 - $59	1124%
Interwest Health	$58	1124%

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 $51.
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 Kootenai Health 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.