Blood test, calcium
Facility: Grisell Memorial Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $19
- Cash Discount Price: $22
- vs. Medicare Baseline: 3.68x 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 368% of the Medicare baseline (a markup of 268%). 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 |
|---|---|---|
| UnitedHealthcare | $1 - $20 | 19% |
| Blue Cross Blue Shield | $10 | 194% |
| Medicaid / KanCare | $19 - $26 | 368% |
| Humana | $19 - $26 | 368% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Grisell Memorial Hospital in Ransom, KS, the facility's cash price of $22.00 is slightly higher than the state average, which sits at $21.00. While the hospital's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield average $19.00, patients with high-deductible plans may find the cash price more affordable if their insurance allowed amount exceeds this figure. It is important to note that commercial negotiated rates often include administrative overhead and can be higher than cash prices, so patients should always ask for "self-pay" or "prompt-pay" discounts before scheduling to potentially lower the cost.
The Medicare benchmark for this service is $5.16, which serves as a baseline for evaluating the facility's pricing markup. The hospital's cash rate of $22.00 represents a significant increase over the Medicare amount, reflecting the typical commercial pricing structure. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, though the No Surprises Act protects you from such bills for emergency care and non-emergency services at in-network facilities. To ensure accuracy, always request a full itemized bill before paying, as summary bills can obscure errors or unbundled charges that should not be billed separately.