CMS Price Transparency Data

Blood test, calcium

Facility: University Of Kansas Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $40
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 7.75x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at University Of Kansas Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 7.75x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $13 (252%)
Insurance Median: $40 (775%)
Cash: $13 (252% of Medicare)
Ins. Median: $40 (775% 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 775% of the Medicare baseline (a markup of 675%). 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.

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
Larned State Hospital [503200090] $11 - $28 213%
Health Plan Inc [503999941] $18 - $44 349%
Accarent Health [503999034] $19 - $47 368%
Alt Carelon Behavioral Health [503200905] $19 - $47 368%
Cerner [503200038] $23 - $57 446%
Allied National [503999937] $23 - $56 446%
Inter-Americas Insurance [503999032] $23 - $57 446%
Alt Wppa [5032000964] $23 - $57 446%
Php [503200005] $23 - $69 446%
Geha [503200036] $23 - $57 446%
Healthlink [503200007] $23 - $69 446%
Med-Pay [503200040] $23 - $57 446%
Cigna $24 - $75 465%
First Health [5032000110] $25 - $62 484%
Aha-Healthcare Preferred [503200050] $25 - $62 484%
Blue Cross Blue Shield $26 - $72 504%
Coeur Plan Services [503301517] $27 - $66 523%
Ascension Living Hope [503201517] $27 - $66 523%
Correct Care Solutions [50311253] $27 - $66 523%
Consolidated Billing [50311256] $27 - $66 523%
Orscheln Industries [503201608] $28 - $70 543%
Alt Lineco [5032000976] $29 - $72 562%
Empire Plan/Nyship [503200705] $29 - $72 562%
Alt Lucent Health Solutions [503202603] $29 - $72 562%
Quiktrip [5032000412] $30 - $75 581%
Point Comfort Underwriters [503200018] $30 - $75 581%
Century Health Solutions [503200054] $30 - $75 581%
Wppa [503200056] $32 - $79 620%
Meritain Health [503200039] $32 - $79 620%
Usa Managed Care [503999030] $34 - $85 659%
Three Rivers Provider Network [503999029] $34 - $85 659%
Plan Care America [503999026] $34 - $85 659%
Employers Health Network [503999025] $34 - $85 659%
Sanford Health Plan [503999027] $34 - $85 659%
Workers Comp [503999901] $36 - $89 698%

Consumer Guidance & Cost Commentary

For this blood test for calcium at University Of Kansas Hospital, the cash price is $13.00, which is significantly lower than the facility's gross charge of $66.00. While the hospital's negotiated rates with insurance plans range from $11 to $85, the cash price remains the lowest option available. It is important to note that for patients with high-deductible plans, paying the cash price of $13.00 upfront can be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Additionally, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if paid in full before services are rendered.

The facility's pricing is benchmarked against federal standards, with the Medicare rate for this service set at $5.16. The cash price of $13.00 represents a markup of 7.8 times the Medicare rate, which is consistent with typical commercial pricing structures where negotiated rates often average 200% to 300% of Medicare. If you have received a bill from this facility, it is advisable to request a detailed, itemized statement to ensure no errors exist, as over 80% of hospital bills contain inaccuracies. Furthermore, if you are concerned about unexpected charges, remember that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, and you should never sign away your rights to dispute such bills without first reviewing the terms carefully.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals