Blood test, calcium
Facility: Saint John Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $5
- Cash Discount Price: $5
- vs. Medicare Baseline: 0.97x 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.
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 |
|---|---|---|
| Aetna | $5 - $9 | 97% |
| UnitedHealthcare | $5 - $7 | 97% |
| Medicare (plans) | $5 | 97% |
| Cigna | $5 | 97% |
| Blue Cross Blue Shield | $5 - $11 | 97% |
| Celtic | $5 - $15 | 97% |
| Healthy Blue | $5 | 97% |
| Midland Care Connection | $5 | 97% |
| Kansas Superior Select | $5 | 97% |
| Medicaid / KanCare | $5 | 97% |
| Tricare | $5 | 97% |
| Well Path | $7 | 136% |
| Employer Direct Healthcare | $7 | 136% |
| Corizon | $7 | 136% |
| Naphcare | $8 | 155% |
| Centurion | $8 | 155% |
| Oha Networks | $11 | 213% |
| Comp Alliance Workers Comp | $11 | 213% |
| Worker Compensation | $12 | 233% |
Consumer Guidance & Cost Commentary
For this blood calcium test (CPT 82310) at Saint John Hospital in Leavenworth, KS, the facility's cash price of $5.00 is significantly lower than the median negotiated rate of $37.00 paid by insurance plans. While the hospital's negotiated rates range from $5.00 to $43.00 depending on the payer, the cash price represents a substantial discount compared to what most commercial insurers would pay. This pricing structure highlights a common billing dynamic where cash-pay options can be far more affordable than insurance coverage, particularly for patients with high-deductible plans who may not yet have met their out-of-pocket maximum. Patients should verify their specific plan details before scheduling, as the $5.00 cash rate is available directly to the facility and may be lower than the allowed amount for many in-network members.
To ensure you are not overcharged, it is important to understand that commercial rates often include administrative costs and contract markups that do not reflect the true cost of care. The Medicare benchmark for this service is $5.16, which serves as a reliable baseline for evaluating fair pricing; the facility's cash rate of $5.00 is nearly identical to this federal standard, suggesting a transparent and cost-effective rate. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, which is largely prohibited for emergency services and non-emergency care at in-network facilities under the No Surprises Act. Furthermore, if you receive a summary bill, you should request a full itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80%