CMS Price Transparency Data

Blood test, calcium

Facility: Kosciusko Community Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $10
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Kosciusko Community Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.94x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $7 (136%)
Insurance Median: $10 (194%)
Cash: $7 (136% of Medicare)
Ins. Median: $10 (194% 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
Amish Aid $1 - $31 19%
Self Pay $1 - $58 19%
Aetna $2 - $79 39%
Blue Cross Blue Shield $2 - $8 39%
Encore $2 - $60 39%
Lutheran Preferred Network $2 - $119 39%
Php Freedom Network $2 - $58 39%
Physicians Health Plan $2 - $69 39%
Trma Inc $2 - $67 39%
UnitedHealthcare $2 - $78 39%
Cigna $3 - $94 58%
Connecticut General Life Insurance Company $3 - $88 58%
Advantage Health $4 - $124 78%
First Health Network $4 - $112 78%
Prime Health Services $4 - $112 78%
Private Healthcare Systems $4 - $128 78%
Tricare $4 - $5 78%
Caresource $5 97%
Department Of Veterans Affairs $5 97%
Encore Health Network $5 - $139 97%
Humana $5 97%
In Dept Of Correction $5 97%
Iu Health $5 97%
Managed Health Services $5 97%
Medicaid / KanCare $5 97%
Medicare (plans) $5 97%
Mhs $5 97%
Node Devoted Health Mcr Adv $5 97%
Node Non Par Hospice Agree $5 97%
Node Pphp Mcr Adv $5 97%
Node Va $5 97%
Sagamore $5 - $140 97%
Veterans Eval Services $5 97%
Us Department Of Labor $6 116%
Align In Work Comp $8 155%
Lutheran Advanced Network $8 155%
Lutheran Preferred $8 - $10 155%
One Call Work Comp $8 155%
Encore Work Comp In $9 174%
Managed Health Services Exchange $10 194%
Workers Comp $10 194%
Encore Kba Epo $12 233%
Encore Kba Ppo $15 291%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals