Blood test, calcium
Facility: Kiowa District Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $37
- Cash Discount Price: $31
- vs. Medicare Baseline: 7.17x 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 717% of the Medicare baseline (a markup of 617%). 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 |
|---|---|---|
| Healthchoice-All Plans | $8 | 155% |
| Blue Cross Blue Shield | $11 | 213% |
| Tricare | $15 | 291% |
| UnitedHealthcare | $31 - $39 | 601% |
| Health Partners Of Ks-All Plans | $34 | 659% |
| Humana | $35 | 678% |
| Aetna | $37 | 717% |
| Triwest-All Plans | $37 | 717% |
| Multiplan-All Plans | $37 | 717% |
| Gbs Insurance - All Plans | $37 | 717% |
| Medicare (plans) | $37 | 717% |
| Medicaid / KanCare | $39 | 756% |
| Providers Care (Wppa)-All Plans | $58 | 1124% |
| Liberty Healthshare-All Plans | $63 | 1221% |
Consumer Guidance & Cost Commentary
For the blood test, calcium service (CPT 82310) at Kiowa District Hospital in Kiowa, Kansas, the cash median price is $31.00, while the median negotiated rate across 14 payers is $37.00. This service is provided by a Critical Access Hospital owned by a Government Hospital District or Authority. The facility's negotiated rates are higher than its cash price, which can be advantageous for patients with high-deductible plans who may pay less out-of-pocket if the insurance allowed amount exceeds the cash rate. However, patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may result in higher costs than self-pay options.
The Medicare benchmark for this service is $5.16, which serves as a baseline for evaluating the facility's pricing markup. The facility's cash rate of $31.00 is significantly higher than the Medicare amount, reflecting the costs of local labor and facility operations. While the data does not provide explicit state or county average comparisons for this specific code, the wide variation in negotiated rates among payers—ranging from $8.00 for Healthchoice-All Plans to $63.00 for Liberty Healthshare-All Plans—highlights the importance of checking individual plan contracts. Patients should consider requesting a prompt-pay discount if paying cash upfront, as hospitals often offer reductions to bypass administrative claim processing fees.