CMS Price Transparency Data

Blood test, calcium

Facility: Methodist Hospitals Inc

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $9
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Methodist Hospitals Inc is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.74x the Medicare baseline. Located in 600 Grant St, Gary, IN.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $33 (640%)
Insurance Median: $9 (174%)
Cash: $33 (640% of Medicare)
Ins. Median: $9 (174% 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.

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 $5 - $35 97%
Blue Cross Blue Shield $5 - $42 97%
Caresource $5 97%
Humana $5 97%
Managed Health Services $5 97%
Medicaid / KanCare $5 97%
Medicare (plans) $5 97%
United Heathcare $5 97%
UnitedHealthcare $5 - $8 97%
Zing $5 97%
Caresource Maketplace $9 174%
Ambetter / Centene $10 194%
Magnacare $14 271%
Physicians Health Plan Of Northern Indiana $15 291%
Cigna $18 - $20 349%
Encore $28 - $42 543%
Phcs $32 620%
Siho $33 640%
Multiplan $34 659%
Sagamore $34 659%
Hfn $37 - $40 717%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Grant St, Gary, IN 46402
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals