Blood test, calcium
Facility: Dupont Hospital LLC
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $13
- Cash Discount Price: $11
- vs. Medicare Baseline: 2.52x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 252% of the Medicare baseline (a markup of 152%). 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.
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 | $2 - $8 | 39% |
| Aetna | $5 - $73 | 97% |
| Amish Aid | $5 - $44 | 97% |
| Caresource | $5 | 97% |
| Department Of Veterans Affairs | $5 | 97% |
| Humana | $5 | 97% |
| In Dept Of Correction | $5 | 97% |
| Iu Health | $5 | 97% |
| Managed Health Services | $5 - $10 | 97% |
| Medicaid / KanCare | $5 | 97% |
| Medicare (plans) | $5 | 97% |
| Node Devoted Health Mcr Adv | $5 | 97% |
| Node Mhs Mcr Adv | $5 | 97% |
| Node Non Par Hospice Agree | $5 | 97% |
| Node Pphp Mcr Adv | $5 | 97% |
| Node Va | $5 | 97% |
| Physicians Health Plan | $5 - $64 | 97% |
| Self Pay | $5 - $74 | 97% |
| Tricare | $5 | 97% |
| UnitedHealthcare | $5 - $79 | 97% |
| Veterans Eval Services | $5 | 97% |
| Cigna | $6 - $60 | 116% |
| Lutheran Preferred | $6 - $98 | 116% |
| Php Freedom Network | $6 - $10 | 116% |
| Us Department Of Labor | $6 | 116% |
| Align In Work Comp | $8 | 155% |
| Lutheran Advanced Network | $8 | 155% |
| Lutheran Preferred Fixed 2 | $8 | 155% |
| Encore Work Comp In | $9 | 174% |
| Prime Health Services | $9 - $123 | 174% |
| Encore Ppo | $10 - $82 | 194% |
| In Work Comp | $10 | 194% |
| Lutheran Network | $10 - $82 | 194% |
| Medical Mutual Of Oh | $10 - $87 | 194% |
| Sagamore | $10 - $91 | 194% |
| Encore Kba Epo | $12 | 233% |
| Encore Kba Ppo | $15 | 291% |
| Frontpath | $15 - $131 | 291% |
| Advantage Health Solutions | $16 - $136 | 310% |
| Encore Health Network | $16 - $148 | 310% |
| Multiplan | $16 - $148 | 310% |
| Allied Benefit Systems | $17 - $148 | 329% |