Blood test, calcium
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $5
- Cash Discount Price: $38
- 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 |
|---|---|---|
| Providrs Care Network | $5 | 97% |
| Blue Cross Blue Shield | $5 | 97% |
| UnitedHealthcare | $5 - $6 | 97% |
| Aetna | $5 - $6 | 97% |
| Humana | $5 | 97% |
| United Mine Workers Of America | $5 | 97% |
| Lantern Specialty Care | $8 | 155% |
Consumer Guidance & Cost Commentary
For the blood test, calcium (CPT 82310) at Kansas Spine & Specialty Hospital, Llc in Wichita, KS, the cash median price is $38.00, which is significantly lower than the facility's gross charge of $59.00. While the facility is a physician-owned acute care hospital, the cash rate offers a clear alternative for patients with high-deductible plans or those without insurance, as paying out-of-pocket avoids the administrative fees and markup layers inherent in commercial insurance billing. Although the data does not provide specific state or county average benchmarks for this code, patients should be aware that commercial negotiated rates for in-network plans often exceed cash prices due to the costs of claims processing and contract management. To secure the lowest possible price, individuals should directly contact the hospital to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final amount owed.
The Medicare benchmark for this service is $5.16, which serves as a scientifically validated baseline for the true cost of delivery, distinct from the facility's gross charges. The facility's negotiated rate of $5.00 is slightly below the Medicare amount, indicating a highly competitive pricing structure that aligns with fair pricing standards rather than the typical 200% to 300% markup often seen in commercial contracts. This comparison highlights that the facility is not inflating charges to create the illusion of large savings off a high list price. Consumers should verify their specific plan's allowed amount before scheduling, as assuming in-network status guarantees the best price can lead to confusion if different payers within the same network have varying contract terms. Ultimately, understanding the