Blood test, calcium
Facility: Wesley Medical Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $12
- Cash Discount Price: $594
- vs. Medicare Baseline: 2.33x 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 233% of the Medicare baseline (a markup of 133%). 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 |
|---|---|---|
| Medicaid / KanCare | $5 | 97% |
| UnitedHealthcare | $5 | 97% |
| Devoted Health | $5 | 97% |
| Amerigroup | $5 | 97% |
| Ambetter / Centene | $5 - $107 | 97% |
| Aetna | $5 - $212 | 97% |
| United | $5 - $267 | 97% |
| Humana | $5 | 97% |
| Coventry Health Care | $5 | 97% |
| Triwest Health Alliance | $5 | 97% |
| Correct Care Solutions | $8 | 155% |
| First Health | $11 - $274 | 213% |
| Multiplan | $12 - $535 | 233% |
| Blue Cross Blue Shield | $14 | 271% |
| Health Partners Of Kansas | $103 - $297 | 1996% |
| Wppa | $103 | 1996% |
| Medical Associates Health Plan | $112 | 2171% |
| Preferred Health Choices | $112 | 2171% |
| Spirit Aerosystems | $190 | 3682% |
| Triwest Healthcare Alliance | $386 | 7481% |
| Usa Managed Care | $505 | 9787% |
Consumer Guidance & Cost Commentary
For this blood calcium test (CPT 82310) at Wesley Medical Center in Wichita, KS, the cash price is $594.00, which matches the facility's cash median. This rate is significantly higher than the state average, reflecting the facility's proprietary ownership and specific market positioning. While commercial insurance plans like Aetna and Multiplan have negotiated rates ranging from $112 to $535, these figures often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the $594.00 cash price directly, as this avoids potential balance billing if their insurance allows a higher negotiated rate than the cash amount. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan's allowed amount before scheduling to ensure they are not facing unexpected costs.
To maximize savings, patients should actively inquire about "self-pay" or "prompt-pay" discounts before check-in, as hospitals often offer fee reductions of 20% to 50% for upfront payments that bypass costly insurance claims processing. Additionally, if a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, such as unbundled codes or services not rendered, since over 80% of hospital bills contain inaccuracies. By comparing the facility's rates against the Medicare benchmark of $5.16, it becomes clear that the commercial pricing involves substantial markups; however, the most effective strategy for reducing debt is securing a prompt-pay discount or confirming that the insurance negotiated rate does