Blood test, calcium
Facility: Logan County Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $69
- Cash Discount Price: $20
- vs. Medicare Baseline: 13.37x 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 1337% of the Medicare baseline (a markup of 1237%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $11 | 213% |
| Humana | $42 | 814% |
| Health Partners - All Plans | $95 | 1841% |
| Medicaid / KanCare | $100 | 1938% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Logan County Hospital in Oakley, Kansas, the facility's negotiated rates with major payers like Blue Cross Blue Shield, Humana, and Health Partners range from $11 to $95, while the cash price is $20. It is important to note that for patients with high-deductible plans, paying the cash price of $20 upfront can sometimes be more cost-effective than the insurance negotiated rates, which often exceed the cash amount due to administrative processing costs. Since this is a Critical Access Hospital, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as paying the bill in full within a short window can often reduce the total cost further by bypassing the standard insurance billing cycle.
When evaluating the value of this service, it is helpful to compare the facility's pricing against the federal baseline. The Medicare reimbursement rate for this procedure is $5.16, which serves as a scientifically validated benchmark for the true cost of delivery. While the facility's cash rate of $20 is higher than the Medicare amount, it is significantly lower than the gross charge of $100 and aligns closely with the median negotiated rate of $69.00 observed across the four payers listed. Patients should be aware that commercial rates often include administrative overhead that is not reflected in the Medicare calculation, and understanding this difference helps clarify why insurance payments may appear higher than out-of-pocket options.