Blood test, calcium
Facility: Hiawatha Community Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $45
- Cash Discount Price: $56
- 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 | 213% |
| Humana | $20 - $22 | 388% |
| UnitedHealthcare | $20 - $50 | 388% |
| Aetna | $20 - $47 | 388% |
| Ambetter / Centene | $24 - $26 | 465% |
| Oscar - All Plans | $40 - $44 | 775% |
| Centrus Health Direct - All Plans | $40 - $44 | 775% |
| Preferred Hlth - All Plans | $48 - $52 | 930% |
| Wppa Providrs Care - All Plans | $50 - $55 | 969% |
| Cigna | $50 - $55 | 969% |
| Multiplan - All Plans | $51 - $56 | 988% |
| Midlands Choice - All Plans | $51 - $56 | 988% |
| Healthy Blue Mcaid - All Plans | $53 - $58 | 1027% |
Consumer Guidance & Cost Commentary
For the CPT code 82310 (Blood test, calcium) at Hiawatha Community Hospital in Hiawatha, KS, the cash median price is $56.00, which matches the facility's gross charge. This cash rate is significantly lower than the state average of $56.00, though it is notably higher than the county average of $44.00. While commercial insurance negotiated rates range from $11 to $58 depending on the payer, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds $56.00. It is important to note that cash payments can sometimes be cheaper for patients who have not yet met their deductible, as the facility offers a prompt-pay discount for upfront payment.
The facility's negotiated rates vary widely across payers, with the lowest allowed amount being $11 from Blue Cross Blue Shield and the highest at $58 from Healthy Blue Mcaid. These commercial rates are generally higher than the Medicare benchmark of $5.16, reflecting the administrative costs and contract structures inherent in private insurance. Medicare rates serve as a reliable baseline for evaluating pricing markups, as they represent the true cost of care rather than inflated chargemaster lists. Patients should verify their specific plan's allowed amount before scheduling to ensure they are aware of their out-of-pocket obligations, and they should request an itemized bill to avoid paying for services not rendered or unbundled charges.