CMS Price Transparency Data

Blood test, calcium

Facility: Franciscan Health Michigan City

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $67
Cash Discount Price: $23
vs. Medicare Baseline: 12.98x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Franciscan Health Michigan City is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 12.98x the Medicare baseline. Located in 3500 Franciscan Way, Michigan City, IN.

Cash / Self-Pay

$23

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $23 (446%)

Insurance Median: $67 (1298%)

Cash: $23 (446% of Medicare)

Ins. Median: $67 (1298% 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 1298% of the Medicare baseline (a markup of 1198%). 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
Blue Cross Blue Shield	$5 - $56	97%
Mdwise [1175]	$5	97%
Medicaid / KanCare	$5 - $6	97%
Medicare (plans)	$5	97%
Unicare [1150]	$5	97%
Managed Health Services [1302]	$6	116%
Aetna	$9 - $15	174%
Managed Care [2000]	$9 - $100	174%
Workers Comp [1172]	$10	194%
Commercial [2001]	$23 - $111	446%
United Medical Resources [1158]	$66	1279%
United Medical Resources [1301]	$66 - $74	1279%
UnitedHealthcare	$66 - $74	1279%
Cigna	$67 - $78	1298%
Great West Insurance [1055]	$67	1298%

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 $23.
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 Franciscan Health Michigan City 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.