Blood test, calcium
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $31
- Cash Discount Price: $23
- vs. Medicare Baseline: 6.01x 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 601% of the Medicare baseline (a markup of 501%). 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 |
|---|---|---|
| Lucent Health [6000] | $31 | 601% |
| Oncology Patient Assistance Programs [2295] | $31 | 601% |
| Blue Cross Blue Shield | $31 | 601% |
| Healthcare Highways [2210] | $31 | 601% |
| Black Lung [6055] | $31 | 601% |
| Hooray Health [8000] | $31 | 601% |
| Aetna | $31 | 601% |
| Web Tpa [2115] | $31 | 601% |
| Department Of Corrections [1340] | $38 | 736% |
| Cigna | $44 | 853% |
| National Association Of Letter Carriers [1695] | $44 | 853% |
| Healthpartners [1500] | $44 | 853% |
| American Postal Workers Union [1070] | $44 | 853% |
| Humana | $45 | 872% |
| Administrative Concepts [1005] | $60 | 1163% |
| Multiplan [1680] | $60 | 1163% |
| First Health [1375] | $60 | 1163% |
| American Healthcare [1055] | $60 | 1163% |
| Coventry Healthcare [1320] | $63 | 1221% |
| Ks Disability Determination [6090] | $77 | 1492% |
Consumer Guidance & Cost Commentary
For the blood test code 82310 at the University Of Kansas Health System - St Francis Campus in Topeka, the facility's cash price of $23.00 is significantly lower than the median negotiated rate of $31.00 and the gross charge of $77.00. This cash price also represents a substantial saving compared to the state average, which is 6.0% higher than the Medicare benchmark of $5.16. Patients with high-deductible plans or those without insurance may find it beneficial to pay the cash price directly, as the negotiated rates paid by insurers often exceed the cash amount. To secure this lower rate, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling their visit and consider signing a waiver of insurance submission to avoid automatic claims processing that could void the cash agreement.
While the facility's negotiated rates range from $31.00 to $77.00 across various payers, the cash price remains the most transparent and accessible option for consumers. It is important to note that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though patients should verify their specific plan status to ensure they are not subject to unexpected out-of-network charges. If a patient receives an itemized bill that includes services not rendered or unbundled codes, they should request a formal written audit dispute rather than accepting a summary bill. By comparing the facility's rates directly to the Medicare benchmark and understanding the mechanics of prompt-pay discounts, consumers can make informed decisions that minimize out-of-pocket costs.