Blood test, calcium
Facility: Cloud County Health Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $68
- Cash Discount Price: $50
- vs. Medicare Baseline: 13.18x 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 1318% of the Medicare baseline (a markup of 1218%). 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 | $64 - $66 | 1240% |
| Health Partners - All Plans | $68 | 1318% |
| Mpi-All Plans | $68 | 1318% |
| Pponext-All Plans | $68 | 1318% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Cloud County Health Center in Concordia, KS, the facility's cash median price of $50.00 is lower than the state average of $68.00, making it a potentially cost-effective option for patients with high-deductible plans. While the facility's negotiated rates with major payers like Aetna, Health Partners, and MPI also average $68.00, the cash price remains the most affordable option listed. Patients should verify their specific plan details, as paying out-of-pocket for this service might result in lower out-of-pocket costs compared to insurance claims, especially if the patient has not yet met their deductible. It is always advisable to ask the billing department directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final amount owed.
The facility's pricing structure aligns with federal benchmarks, showing a 13.2% markup over the Medicare rate of $5.16, which is consistent with typical commercial pricing dynamics. Because this service is a laboratory test, patients should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, unexpected ancillary charges can still occur if specific lab components are out-of-network. To ensure accuracy and avoid errors, patients should request a full itemized bill that lists specific CPT codes rather than accepting a summary invoice. If any charges appear incorrect or unbundled, a formal written dispute sent to the billing supervisor is the most effective way to resolve the issue and prevent unnecessary debt.