Blood test, calcium
Facility: Rooks County Health Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $57
- Cash Discount Price: $48
- vs. Medicare Baseline: 11.05x 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 1105% of the Medicare baseline (a markup of 1005%). 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 |
|---|---|---|
| Veterans Admin - All Plans | $3 | 58% |
| Blue Cross Blue Shield | $11 | 213% |
| Tricare | $30 | 581% |
| Celtic Mcr Adv | $30 | 581% |
| Celtic Comm - All Other Plans | $33 | 640% |
| Aetna | $57 | 1105% |
| UnitedHealthcare | $57 | 1105% |
| Preferred Benefits Admin | $57 | 1105% |
| Health Partners - All Plans | $61 | 1182% |
| Preferred Hlthcare - All Other Plans | $61 | 1182% |
| Healthy Blue Mcaid - All Plans | $64 | 1240% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Rooks County Health Center in Plainville, Kansas, the facility's cash price of $48.00 is lower than the state average of $51.00, making it a potentially cost-effective option for patients with high-deductible plans or those paying out-of-pocket. While the facility's negotiated rates with insurance carriers range from $3 to $64, the cash price remains the lowest amount listed, which can be advantageous if your insurance allowed amount exceeds this figure. Because commercial negotiated rates often include administrative overhead and contract markups that push prices higher than the true cost of care, paying cash directly can sometimes result in significant savings compared to what your insurer might allow.
Patients should verify their specific plan details before scheduling, as some insurance carriers may have different allowed amounts for this service. It is important to ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if you choose to pay upfront. Additionally, if you receive a bill from an out-of-network provider at this facility, you may be protected under the No Surprises Act, which prevents balance billing for emergency and non-emergency services at in-network hospitals. If you do receive an unexpected bill, you should request a formal itemized audit to identify any errors, unbundled codes, or services not rendered, as these are common sources of overcharging.