Blood test, calcium
Facility: Clara Barton Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $39
- Cash Discount Price: $35
- vs. Medicare Baseline: 7.56x 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 756% of the Medicare baseline (a markup of 656%). 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% |
| 6 Degrees Health - All Plans | $29 - $41 | 562% |
| Wppa-All Plans | $34 - $47 | 659% |
| Phcs - All Plans | $38 - $53 | 736% |
| Aetna | $38 - $53 | 736% |
| UnitedHealthcare | $38 - $53 | 736% |
| Hlth Partners Of Ks-All Plans | $39 - $54 | 756% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Clara Barton Hospital in Hoisington, KS, the facility's cash price of $35.00 is lower than the state average of $38.00 and the county average of $39.00. While the hospital's negotiated rates for in-network payers range from $29 to $54, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and seeking a prompt-pay discount. It is important to note that even though this service is listed under in-network plans, commercial rates can sometimes be higher than the cash rate due to administrative costs and contract structures, so verifying the specific allowed amount with your insurer before scheduling is essential.
The facility's Medicare benchmark of $5.16 serves as a baseline for fair pricing, with the cash rate representing a reasonable markup compared to the federal government's cost-based reimbursement. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur if ancillary services are out-of-network. To avoid surprise costs, consumers should request a full itemized bill before paying, as summary invoices may hide unbundled codes or services not rendered. If you receive a balance bill, you can dispute it with your insurer or request a formal audit to ensure all charges are accurate and compliant with federal protections.