Blood test, calcium
Facility: Overland Park Reg Med Ctr
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $51
- Cash Discount Price: $240
- vs. Medicare Baseline: 9.88x 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 988% of the Medicare baseline (a markup of 888%). 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 |
|---|---|---|
| Cigna | $3 - $5 | 58% |
| Devoted Health | $5 | 97% |
| Triwest Health Alliance | $5 | 97% |
| Amerigroup | $5 | 97% |
| Coventry | $5 - $104 | 97% |
| Blue Cross Blue Shield | $5 - $111 | 97% |
| Healthyblue | $5 | 97% |
| United | $5 - $116 | 97% |
| Celtic | $5 | 97% |
| Humana | $5 - $13 | 97% |
| Home State Health Plan | $5 | 97% |
| Wellcare | $5 | 97% |
| Medicaid / KanCare | $5 | 97% |
| Unicare | $5 | 97% |
| Aetna | $5 - $132 | 97% |
| Pyramid Life | $6 | 116% |
| Oscar | $8 | 155% |
| Multiplan | $9 - $191 | 174% |
| Corvel Corporation | $11 - $168 | 213% |
| Oha Network | $12 - $129 | 233% |
| Ambetter / Centene | $40 - $48 | 775% |
| Nhc Advantage | $41 - $49 | 795% |
| Wppa Providrs Care Network | $43 - $52 | 833% |
| Universal Healthcare | $76 - $91 | 1473% |
| Coventry Kc Mo | $89 - $106 | 1725% |
| College Park Family Care Center | $94 - $111 | 1822% |
| Cco, Inc. | $163 - $194 | 3159% |
| Focus Healthcare Mgmt, Inc | $163 - $194 | 3159% |
Consumer Guidance & Cost Commentary
For the blood test, calcium procedure (CPT 82310) at Overland Park Reg Med Ctr, the cash price is $240.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $5.16, reflecting the typical administrative markup inherent in commercial billing structures. While the facility lists a median negotiated rate of $51.00 across various payers, these amounts vary widely depending on the specific insurance plan and contract terms. For patients with high-deductible plans, paying the cash price of $240.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price once deductibles and copays are applied.
To ensure you are not overcharged, it is crucial to request a full itemized bill before finalizing payment, as summary bills can obscure individual line items and potential errors. If you receive a balance bill for the difference between the chargemaster and your insurance allowed amount, you may be protected under the No Surprises Act, which bans such billing for out-of-network services at in-network facilities. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled in full within 30 days. Always verify your specific plan's deductible status and allowed amounts with the hospital prior to scheduling to avoid unexpected financial burdens.