Blood test, calcium
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $15
- Cash Discount Price: $28
- vs. Medicare Baseline: 2.91x 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 291% of the Medicare baseline (a markup of 191%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $4 - $11 | 78% |
| UnitedHealthcare | $5 - $46 | 97% |
| Berkley Net-All Plans | $6 - $18 | 116% |
| Meritain Health-All Plans | $7 - $21 | 136% |
| Trustmark Health Benefits-All Plans | $7 - $20 | 136% |
| Aetna | $7 - $31 | 136% |
| Ambetter / Centene | $8 - $22 | 155% |
| Pinnacol-All Plans | $9 - $26 | 174% |
| Medi-Share-All Plans | $9 - $26 | 174% |
| Axa Equitable - All Plans | $9 - $25 | 174% |
| Kasb Work Comp - All Plans | $10 - $29 | 194% |
| Presbyterian-All Plans | $10 - $28 | 194% |
| Wppa- All Plans | $11 - $33 | 213% |
| Auxiant - All Plans | $11 - $32 | 213% |
| Gpha(Wppa)-All Other Plans | $11 - $32 | 213% |
| The Kempton Group Admin-All Plans | $11 - $32 | 213% |
| Sisco-All Plans | $12 - $33 | 233% |
| Triangle-All Plans | $12 - $35 | 233% |
| Employee Benefit-All Plans | $12 - $34 | 233% |
| One Call Physician-All Plans | $12 - $35 | 233% |
| Providers Care Network- All Plans | $12 - $33 | 233% |
| First Health -All Plans | $12 - $35 | 233% |
| Regional Care(Wppa)-All Plans | $12 - $34 | 233% |
| Emc-All Plans | $12 - $33 | 233% |
| Gpha Employee Benefit Plan | $12 - $34 | 233% |
| Blue Cross Blue Shield | $13 - $36 | 252% |
| Christian Hospital Aid - All Plans | $13 - $37 | 252% |
| Tricare | $13 - $37 | 252% |
| Humana | $14 - $40 | 271% |
| Coresource-All Plans | $14 - $41 | 271% |
| Luminare Health- All Plans | $14 - $40 | 271% |
| Deseret Mutual(Uhis)-All Plans | $14 - $41 | 271% |
| Cigna | $14 - $40 | 271% |
| Wps Vapc-All Plans | $15 - $44 | 291% |
| Vaccn-All Plans | $15 - $42 | 291% |
| Hma Llc-All Plans | $15 - $44 | 291% |
| Reserve National-All Plans | $15 - $44 | 291% |
| Medicaid / KanCare | $16 - $46 | 310% |
Consumer Guidance & Cost Commentary
For the CPT code 82310 (Blood test, calcium), Satanta District Hospital, Clinics, & Ltcu lists a cash price of $28.00, which is slightly higher than the facility's own negotiated rate of $15.00 but lower than the gross charge of $31.00. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average benchmarks for this procedure, so a direct comparison to regional averages is not possible. However, the cash price of $28.00 is notably higher than the national median paid amount of $19.00 for this service. Patients with high-deductible plans should consider that paying the cash price directly might be more cost-effective than using insurance, as commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures.
The facility's Medicare benchmarking data shows a rate of $5.16, which is significantly lower than the cash price, highlighting the substantial markup typically found in commercial billing. The "vs_medicare" metric of 2.9 indicates that the cash price is nearly three times the Medicare rate, a common pattern where commercial rates are marked up well above the federal baseline. To minimize costs, patients should explicitly request an itemized billing audit before payment to ensure no unbundled charges or errors exist, as over 80% of hospital bills contain mistakes. Additionally, asking for a prompt-pay discount prior to scheduling could reduce the final amount, as hospitals often offer 20% to 50% reductions for upfront cash payments to bypass costly claims processing.