Blood test, calcium
Facility: St. Catherine Hospital - Garden City
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $18
- Cash Discount Price: $50
- vs. Medicare Baseline: 3.49x 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 349% of the Medicare baseline (a markup of 249%). 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 |
|---|---|---|
| Devoted Health | $5 | 97% |
| Kansas Health | $5 | 97% |
| Aetna | $5 - $48 | 97% |
| UnitedHealthcare | $5 - $35 | 97% |
| Cigna | $5 - $7 | 97% |
| Medicare (plans) | $5 | 97% |
| Humana | $5 | 97% |
| Kaiser | $5 - $53 | 97% |
| Blue Cross Blue Shield | $5 - $18 | 97% |
| Innovage | $5 | 97% |
| Centura Employee Plan | $6 | 116% |
| United Colorado Doctor'S Plan | $8 | 155% |
| Direct To Employer | $9 - $76 | 174% |
| Wpaa | $40 | 775% |
| Denver Health | $45 | 872% |
| Christian Health Aid | $46 | 891% |
| Multiplan | $51 - $162 | 988% |
| Health Partners Of Kansas | $55 | 1066% |
| Peak Health | $74 | 1434% |
Consumer Guidance & Cost Commentary
For the blood test code 82310 at St. Catherine Hospital in Garden City, the cash median price is $50.00, which is significantly higher than the facility's negotiated rate of $18.00 and the state average of $5.00. While Medicare sets a benchmark of $5.16, commercial insurance contracts often result in higher out-of-pocket costs for patients who have not yet met their deductibles. It is important to note that for patients with high-deductible plans, paying the cash price of $50.00 upfront can sometimes be more cost-effective than relying on insurance, as the negotiated rate of $18.00 may not be fully covered until the deductible is satisfied. Patients should verify their specific plan status and ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not paying the full negotiated amount.
The facility's pricing structure reveals a wide range of negotiated rates among payers, with the lowest commercial rate being $5.00 and the highest reaching $162.00, largely due to integrated-system internal rates that do not reflect typical negotiated pricing. To avoid unexpected costs, patients should request an itemized billing audit to identify any errors or unbundled charges, as over 80% of hospital bills contain mistakes. Additionally, while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, patients must be cautious of automatic claims submission if they choose to pay cash directly. Always confirm with the hospital whether a "waiver of insurance submission" is required to secure the lowest possible cash price.