Blood test, calcium
Facility: Kansas Heart Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $5
- Cash Discount Price: $12
- 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 |
|---|---|---|
| UnitedHealthcare | $5 | 97% |
| Tricare | $5 | 97% |
| Medicaid / KanCare | $5 | 97% |
| Celtic Mcr Adv | $5 | 97% |
| Humana | $5 | 97% |
| Blue Cross Blue Shield | $7 | 136% |
| Wppa - All Plans | $7 | 136% |
| Multiplan - All Plans | $16 | 310% |
Consumer Guidance & Cost Commentary
For the blood test, calcium procedure (CPT 82310) at Kansas Heart Hospital in Wichita, KS, the cash median price is $12.00, which matches the facility's negotiated median paid rate. This cash price is significantly lower than the facility's gross charge of $18.00 and represents a substantial discount compared to the Medicare benchmark of $5.16. While the facility's negotiated rate of $5.00 is lower than the gross charge, it remains higher than the cash option. Patients with high-deductible plans or those without insurance may find the $12.00 cash price more cost-effective than using insurance, as commercial negotiated rates often include administrative overhead that pushes the allowed amount above the direct cash price.
The facility offers 8 different payers, including UnitedHealthcare, Tricare, and Medicaid/KanCare, with negotiated rates ranging from $5.00 to $16.00 depending on the specific plan. Because commercial negotiated rates can sometimes exceed cash prices due to administrative costs and contract structures, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling. These discounts, typically ranging from 20% to 50%, allow patients to bypass the insurance billing cycle and pay immediately for a reduced rate. If a patient receives a bill that appears higher than expected, they should request a full itemized audit to verify that no unbundled codes or services not rendered have been charged, ensuring the final amount reflects the agreed-upon negotiated or cash rate.