Blood test, calcium
Facility: Stevens County Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $25
- Cash Discount Price: $65
- vs. Medicare Baseline: 4.84x 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 484% of the Medicare baseline (a markup of 384%). 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 |
|---|---|---|
| Aetna | $3 - $65 | 58% |
| Blue Cross Blue Shield | $11 | 213% |
| Humana | $24 | 465% |
| First Health - All Plans | $58 | 1124% |
| Wppa - All Plans | $62 | 1202% |
| Medicaid / KanCare | $65 | 1260% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Stevens County Hospital in Hugoton, Kansas, the cash price is $65.00, which matches the facility's maximum negotiated rate. While the median amount paid by insurance plans is $42.00, patients should be aware that cash payments can sometimes be more cost-effective if their insurance negotiated rate exceeds the cash price. The facility, a Critical Access Hospital owned by the local government, has a facility rating of 4. To ensure you are getting the best possible price, it is highly recommended to contact the hospital directly to inquire about self-pay discounts or prompt-pay incentives before scheduling your visit.
When comparing pricing, the facility's cash rate of $65.00 is significantly higher than the state average for this service, which is $5.16. This disparity highlights the importance of understanding how commercial rates are often marked up compared to federal benchmarks. Under federal protections like the No Surprises Act, you are generally shielded from balance billing for out-of-network services at in-network facilities, but it is crucial to request a full itemized bill to verify that no unbundled codes or services not rendered have been charged. If you receive a bill that appears inflated, you have the right to dispute it in writing with the billing supervisor to ensure accuracy.