Blood test, calcium
Facility: Providence Medical Center
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 |
|---|---|---|
| Cigna | $5 | 97% |
| Aetna | $5 - $9 | 97% |
| Tricare | $5 | 97% |
| Blue Cross Blue Shield | $5 - $12 | 97% |
| UnitedHealthcare | $5 - $9 | 97% |
| Celtic | $5 - $8 | 97% |
| Midland Care Connection | $5 | 97% |
| Kansas Superior Select | $5 | 97% |
| Medicare (plans) | $5 | 97% |
| Healthy Blue | $5 | 97% |
| Medicaid / KanCare | $5 | 97% |
| Well Path Prison | $7 | 136% |
| Corizon | $7 | 136% |
| Employer Direct Healthcare | $7 | 136% |
| Naphcare | $8 | 155% |
| Centurion | $8 | 155% |
| Oha Networks | $11 | 213% |
| Comp Alliance - Fka Compresults Worker Compensation | $11 | 213% |
| Worker Compensation | $12 | 233% |
Consumer Guidance & Cost Commentary
For the CPT code 82310, representing a blood test for calcium, the gross charge at Providence Medical Center in Kansas City is $118.00. This facility is a voluntary non-profit acute care hospital, and while the Medicare benchmark rate for this service is $5.16, the actual cash price listed is $5.00. It is important to note that the cash price is slightly lower than the Medicare benchmark, which often serves as the most reliable indicator of the true cost of care. Commercial insurance plans, including Cigna, Aetna, and UnitedHealthcare, have negotiated rates that average $5.00, which aligns closely with the cash price. Because the negotiated rates are not significantly higher than the cash price, patients with high-deductible plans may find that paying out-of-pocket is a more efficient financial strategy than relying on insurance, as the administrative overhead and potential deductibles could otherwise inflate the total cost.
Patients should be aware that while the facility lists a median negotiated rate of $5.00, this does not guarantee the lowest possible price for every individual plan. Some commercial payers, such as Celtic and Midland Care Connection, have a single plan with a low of 5, while others like Oha Networks and Worker Compensation have a low of 11, indicating significant variation in contract terms. To ensure you are receiving the best possible rate, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since over 80% of hospital bills contain errors, you