CMS Price Transparency Data

Blood test, calcium

Facility: Pulaski Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $70
Cash Discount Price: $89
vs. Medicare Baseline: 13.57x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Pulaski Memorial Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 13.57x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $89 (1725%)

Insurance Median: $70 (1357%)

Cash: $89 (1725% of Medicare)

Ins. Median: $70 (1357% 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 1357% of the Medicare baseline (a markup of 1257%). 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 - $148	97%
Caresource Mcaid Hhw	$5	97%
Cenpatico Mcaid Hhw - All Other Plans	$5	97%
Mdwise Mcaid Hcc	$5	97%
Mdwise Mcaid Hhw	$5	97%
Mhs Mcaid Hhw/Hcc	$5	97%
UnitedHealthcare	$5 - $176	97%
Ambetter / Centene	$35 - $69	678%
Caresource Mcaid Hip	$35 - $69	678%
Caresource Mcare Hmo	$35 - $69	678%
Cenpatico Mcaid Hip	$35 - $69	678%
Mdwise Mcaid Hip - All Other Plans	$35 - $69	678%
Mhs Mcaid Hip	$35 - $69	678%
Humana	$36 - $179	698%
Mhs Mcare Allwell	$36 - $70	698%
Aetna	$41 - $80	795%
Caresource Exch Hmo Hix - All Other Plans	$44 - $86	853%
Sagamore Rose Acre	$85 - $166	1647%
Sagamore - All Other Plans	$86 - $168	1667%
Encore Ppo - All Other Plans	$97 - $189	1880%
Community Health Alliance - All Plans	$102 - $198	1977%
Encore Workers Comp	$103 - $200	1996%
Multiplan - All Plans	$103 - $200	1996%
Cigna	$109 - $211	2112%

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 $89.
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 Pulaski Memorial 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.