CMS Price Transparency Data

Blood test, calcium

Facility: Unity Physicians Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $14,225
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2756.78x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Unity Physicians Hospital is $14,225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2756.78x the Medicare baseline. Located in 4455 Edison Lakes Pkwy, Mishawaka, IN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,225

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%)

Insurance Median: $14,225 (275678%)

Ins. Median: $14,225 (275678% 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 275678% of the Medicare baseline (a markup of 275578%). 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 - $22,073	97%
Medicaid / KanCare	$5	97%
Mhs Hoosier Care Connect	$5	97%
Nalc	$9 - $29,829	174%
Sagamore Health Network	$9 - $29,829	174%
Multiplan	$10	194%
Multiplan Wc	$12	233%
Aarp Supplemental	$14,225	275678%
Aetna	$14,225	275678%
Cigna	$14,225	275678%
Department Of Va	$14,225	275678%
Medicare (plans)	$14,225	275678%
Mhs Healthy Indiana Plan	$14,225	275678%
Railroad Retirement	$14,225	275678%
UnitedHealthcare	$14,225 - $29,829	275678%
Three Rivers Provider Network	$17,070	330814%
Humana	$19,915	385950%
Encore	$25,605	496221%
Provider Network Of America	$28,449	551337%
All Savers	$29,829	578081%
Medica	$29,829	578081%
Medica Ifb	$29,829	578081%
Oxford	$29,829	578081%

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 $X.
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 Unity Physicians Hospital 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.