Blood test, calcium
Facility: Great Plains Of Sabetha
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $19
- Cash Discount Price: $20
- vs. Medicare Baseline: 3.68x 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 368% of the Medicare baseline (a markup of 268%). 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 |
|---|---|---|
| Celtic Mcr Adv | $10 | 194% |
| Aetna | $10 - $20 | 194% |
| Celtic Comm Exchange-All Other Plans | $13 | 252% |
| Great West Healthcare-All Plans | $17 | 329% |
| Federated Mutual Ins-All Plans | $19 | 368% |
| Humana | $19 | 368% |
| UnitedHealthcare | $19 - $20 | 368% |
| Cigna | $19 | 368% |
| Century/Wppa/Providers-All Plans | $19 | 368% |
| Multiplan-Phcs-All Plans | $19 | 368% |
| Blue Cross Blue Shield | $20 | 388% |
| Medicaid / KanCare | $20 | 388% |
Consumer Guidance & Cost Commentary
For this blood test for calcium at Great Plains of Sabetha, the cash price is $20.00, which matches the facility's negotiated rate of $19.00 and the median negotiated rate across payers. While the facility is a Critical Access Hospital in Kansas, the data provided does not include specific county or state average figures for comparison. However, it is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; in this specific case, the cash price is equal to the negotiated amount, meaning patients with high-deductible plans or those without insurance may find paying out-of-pocket the most cost-effective option.
The Medicare benchmark for this service is $5.16, which serves as the objective baseline for evaluating pricing markups. The facility's cash price of $20.00 represents a significant markup relative to this federal rate, illustrating the difference between the true cost of care and the final price billed to patients. Because the cash price is already at the negotiated level, there is no additional discount available through standard insurance networks for this specific test. Patients should verify their specific plan details, as some commercial payers may have different allowed amounts, but the facility's self-pay rate remains fixed at $20.00.