CMS Price Transparency Data

Blood test, calcium

Facility: Saint Joseph Regional Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $25
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 4.84x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Saint Joseph Regional Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 4.84x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $60 (1163%)
Insurance Median: $25 (484%)
Cash: $60 (1163% of Medicare)
Ins. Median: $25 (484% 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 484% of the Medicare baseline (a markup of 384%). 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 $3 - $60 58%
Blue Cross Blue Shield $3 - $10 58%
Medicaid / KanCare $3 - $5 58%
UnitedHealthcare $3 - $59 58%
County Coroner $5 97%
Managed Health Services - Indiana $5 97%
Mdwise $5 97%
Medicare (plans) $5 97%
Meridian Complete $5 97%
Pace-Trinity Health $5 97%
Provider Partners Health Plan Of Indiana $6 116%
Auxiant $8 - $77 155%
Caresource $8 155%
Physicians Health Plan Northern Indiana Health Insurance $8 - $16 155%
Siho Insurance Services $8 155%
St Joseph County Hlth Dpt $8 155%
Key Benefit Administrator $9 - $58 174%
Allied Benefit Systems $10 - $60 194%
Blue Benefit Administrators Of Massachusetts $10 194%
Blue Care Network $10 194%
Blue Distinction Transplant $10 194%
Blue Shield - Ca $10 194%
Blue Shield - Id (Regence) $10 194%
Blue Shield - Ny Highmark Northeastern $10 194%
Blue Shield - Ny Highmark Western $10 194%
Blue Shield - Pa (Highmark) $10 194%
Blue Shield - Wa (Regence) $10 194%
Custom Design Benefits $11 213%
Hospice Of Marshall County $24 465%
Hospice Of St Joseph County $24 465%
Plain Church Group $25 484%
Notre Dame Athletic Association $51 988%
Wc Notre Dame $51 988%
Luminare Health (Detroit) $53 - $56 1027%
Encore Health $55 - $58 1066%
Ameriben $56 1085%
Indiana Criminal Justice Inst $58 1124%
Western & Southern Financial Group $58 1124%
Geha $59 1143%
Healthscope $59 1143%
Student Insurance Cma $59 1143%
Asr Health Benefits $60 1163%
Christian Brother Services $60 1163%
Cigna $60 1163%
Employee Benefit Management $60 1163%
Group Administrators $60 1163%
Health Partners $60 1163%
Medical Mutual $60 1163%
Meritain $60 1163%
Mvp $60 1163%
Prairie States $60 1163%
Preferred One $60 1163%
Priority Health $60 1163%
Professional Benefit Administrators $60 1163%
Rural Carrier Health Benefit Plan $60 1163%
Sagamore Health Network $60 - $69 1163%
Sisco Benefits $60 1163%
Unified Group Services $60 1163%
Webtpa $60 1163%
Goshen Preferred Network $72 - $80 1395%
Christian Brothers Holy Cross $74 1434%
Signature Care $74 1434%
Bankers Life Casualty $93 1802%
Bureau Of Disability $93 1802%
Wc Align Network $93 1802%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals