Blood test, calcium
Facility: Greenwood County Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $46
- Cash Discount Price: $44
- vs. Medicare Baseline: 8.91x 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 891% of the Medicare baseline (a markup of 791%). 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 |
|---|---|---|
| UnitedHealthcare | $3 - $46 | 58% |
| Blue Cross Blue Shield | $10 - $11 | 194% |
| Triwest - All Plans | $20 | 388% |
| Tricare | $23 | 446% |
| Choicecare Mcr Adv - All Plans | $23 | 446% |
| Integrated Health Plan - All Plans | $41 | 795% |
| First Health - All Other Plans | $47 | 911% |
| First Health Ccn Network | $47 | 911% |
| Beech Street - All Plans | $47 | 911% |
| Preferred Hs (Coventry) - All Plans | $50 | 969% |
| Principal Health Care Inc - All Plans | $52 | 1008% |
| Medicaid / KanCare | $55 | 1066% |
| Amerigroup Mcaid-All Plans | $55 | 1066% |
| Providrs Care/Wppa - All Plans | $82 | 1589% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Greenwood County Hospital in Eureka, Kansas, the facility's cash price of $44.00 is lower than the state average of $46.00 and matches the median negotiated rate for in-network plans. While commercial insurance contracts often result in higher allowed amounts due to administrative overhead and network tiering, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurer's negotiated rate exceeds this amount. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts can charge significantly more than the cash rate, and you should always ask the hospital about self-pay or prompt-pay discounts before check-in to ensure you are receiving the best possible price.
The Medicare benchmark for this service is $5.16, which serves as the objective baseline for evaluating pricing fairness, as commercial rates often include substantial markups. In this case, the facility's cash rate of $44.00 is approximately 8.9 times the Medicare amount, reflecting the standard administrative and operational costs associated with private insurance billing. If you receive a bill that includes balance billing for out-of-network ancillary services or unexpected charges, you have the right to dispute the amount under federal protections like the No Surprises Act. To avoid errors, always request a full itemized bill before paying, as summary invoices can obscure unbundled codes or services not rendered, and ensure any disputes are handled in writing to protect your rights.