Blood test, calcium
Facility: Kiowa County Memorial Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $45
- Cash Discount Price: $43
- vs. Medicare Baseline: 8.72x 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 872% of the Medicare baseline (a markup of 772%). 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 - $44 | 213% |
| UnitedHealthcare | $40 - $50 | 775% |
| Celtic Comml Exchange-All Other Plans | $44 | 853% |
| Medica Prime Mcare Cost-All Plans | $44 | 853% |
| Aetna | $44 | 853% |
| Health Partners Of Ks-All Plans | $44 | 853% |
| Humana | $44 | 853% |
| Medicaid / KanCare | $50 | 969% |
| Providrs Care/Wppa-All Plans | $75 | 1453% |
Consumer Guidance & Cost Commentary
For the CPT code 82310, representing a blood test for calcium, Kiowa County Memorial Hospital in Greensburg, KS, lists a gross charge of $50.00. While the facility's cash median price is $43.00, which is lower than the gross charge, the negotiated rates paid by commercial payers range from $11.00 to $75.00 depending on the specific insurance plan. It is important to note that for patients with high-deductible plans, paying the cash price of $43.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract dynamics. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed if the bill is settled in full within a short window.
When evaluating the cost of this service, it is essential to compare the facility's rates against objective benchmarks rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $5.16, which serves as a scientifically validated baseline for the true cost of care. The facility's cash price of $43.00 represents a significant markup over the Medicare rate, a common practice in commercial healthcare pricing. Furthermore, while the facility is a Critical Access Hospital owned by the local government, patients should be aware that balance billing can still occur if ancillary services are out-of-network, though the No Surprises Act provides protections for emergency and non-emergency services at in-network facilities. Always request an itemized bill to ensure no errors or unbundled charges are included before