CMS Price Transparency Data

Blood test, calcium

Facility: Kansas Medical Center Llc

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $5
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Kansas Medical Center Llc is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 0.97x the Medicare baseline. Located in 1124 West 21St Street, Andover, KS.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $21 (407%)
Insurance Median: $5 (97%)
Cash: $21 (407% of Medicare)
Ins. Median: $5 (97% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
United $3 58%
Ambetter / Centene $5 97%
Medadv_Wellcare $5 97%
Medicaid / KanCare $5 97%
Blue Cross Blue Shield $5 - $12 97%
Indian Health $5 97%
Humana $5 97%
Wppa $6 - $17 116%
Three_Rivers $10 194%
Aetna $14 - $16 271%

Consumer Guidance & Cost Commentary

For this blood calcium test at Kansas Medical Center Llc in Andover, the facility's cash price of $21.00 is notably higher than the state average for this service, which is $12.00. While commercial insurance plans like United and Ambetter / Centene have negotiated rates ranging from $3.00 to $17.00, these figures often represent the maximum allowed amount rather than the actual payment. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the negotiated rates for some insurers can exceed the cash amount. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly even within the same facility.

To minimize costs, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total bill by 20% to 50% when paid upfront. Additionally, since the facility's negotiated rates average $5.00—roughly double the Medicare benchmark of $5.16 for this procedure—commercial rates are marked up significantly above the federal baseline. If you receive a bill after using insurance, request a full itemized audit to identify any errors or unbundled charges, as over 80% of hospital bills contain mistakes. Always compare your final out-of-pocket cost against the state average and seek written confirmation of any discounts before completing payment.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1124 West 21St Street, Andover, KS 67002
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals