Blood test, calcium
Facility: Wilson Medical Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $30
- Cash Discount Price: $29
- vs. Medicare Baseline: 5.81x 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 581% of the Medicare baseline (a markup of 481%). 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 - $38 | 213% |
| Tricare | $20 | 388% |
| UnitedHealthcare | $20 - $35 | 388% |
| Aetna | $20 - $38 | 388% |
| Ambetter / Centene | $20 - $38 | 388% |
| Humana | $20 | 388% |
| Cigna | $30 | 581% |
| Health Partners-All Plans | $35 | 678% |
| Mulitplan-All Plans | $35 | 678% |
Consumer Guidance & Cost Commentary
For this blood test for calcium at Wilson Medical Center in Neodesha, KS, the facility's cash price of $29.00 is lower than the state average, which sits at $38.00. While the facility's negotiated rates for insurance plans range from $20.00 to $38.00, these amounts are generally higher than the cash price due to administrative costs and contract structures. If you have a high-deductible plan, paying the cash price of $29.00 upfront might be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash rate. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly across different carriers.
To minimize potential costs, you should ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, which can reduce the bill by 20% to 50% if you pay in full. Additionally, since the facility is a Critical Access Hospital with government ownership, you may be eligible for further assistance. When reviewing your final statement, request an itemized bill to ensure no errors exist, as over 80% of hospital bills contain mistakes. Finally, compare the facility's pricing to the Medicare benchmark of $5.16; the commercial negotiated rates are higher than this federal baseline, which is typical, but the cash price remains the most transparent and potentially lowest option for patients without insurance.