Blood test, calcium
Facility: Kansas City Orthopaedic Institute
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $13
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.52x 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 252% of the Medicare baseline (a markup of 152%). 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 | $5 | 97% |
| UnitedHealthcare | $5 | 97% |
| Aetna | $5 | 97% |
| Blue Cross Blue Shield | $13 | 252% |
Consumer Guidance & Cost Commentary
For the CPT code 82310 (Blood test, calcium) at Kansas City Orthopaedic Institute in Leawood, KS, the median negotiated rate is $13.00, which is significantly higher than the Medicare benchmark of $5.16. This indicates a markup of 2.5 times the federal baseline, a common characteristic of commercial contracts that include administrative overhead for claims processing. While the facility is in-network for four payers including Cigna, UnitedHealthcare, Aetna, and Blue Cross Blue Shield, patients should be aware that cash-pay options may offer lower out-of-pocket costs if their insurance negotiated rate exceeds the cash price. It is important to verify the specific cash or self-pay rate with the hospital before scheduling, as prompt-pay discounts of 20% to 50% are often available for upfront payments and can reduce the total bill further.
Consumers should avoid assuming that in-network coverage automatically results in the lowest possible price, as negotiated rates can vary widely between providers and plans. If you receive a bill that includes charges for services not rendered or unbundled components, you should request a full itemized audit to identify errors, as over 80% of hospital bills contain inaccuracies. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so any unexpected charges should be disputed with your insurer rather than paid immediately. Always check your deductible status before proceeding, as paying the full negotiated rate may not be necessary if your plan has already covered the cost through your accumulator.