Blood test, calcium
Facility: Trego County Lemke Memorial Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $15
- Cash Discount Price: $15
- vs. Medicare Baseline: 2.91x 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 291% of the Medicare baseline (a markup of 191%). 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 |
|---|---|---|
| Va Ccn - All Plans | $3 | 58% |
| Humana | $6 - $27 | 116% |
| Tricare | $7 - $29 | 136% |
| Aetna | $8 - $50 | 155% |
| UnitedHealthcare | $8 - $55 | 155% |
| Medicaid / KanCare | $8 - $55 | 155% |
| Ambetter / Centene | $9 - $38 | 174% |
| Health Partners - All Plans | $12 - $52 | 233% |
| Healthy Blue Mcaid - All Plans | $12 - $55 | 233% |
| Blue Cross Blue Shield | $15 | 291% |
Consumer Guidance & Cost Commentary
For the CPT code 82310 (Blood test, calcium), Trego County Lemke Memorial Hospital lists a cash price of $15.00, which matches the facility's median negotiated rate and the state average. This service is priced at 2.9 times the Medicare benchmark of $5.16, reflecting the standard markup for commercial billing. While the facility is a Critical Access Hospital in Wakeeney, KS, and owned by the local government, patients with high-deductible plans may find the cash price more affordable than their insurance negotiated rates, which range from $3 to $55 depending on the payer. Because commercial rates often include administrative overhead and contract dynamics that drive prices higher than the true cost of care, paying cash upfront can sometimes result in lower out-of-pocket expenses compared to insurance reimbursement.
To ensure you are not overcharged, it is important to verify your specific plan's negotiated rate before scheduling, as in-network rates vary significantly by insurer. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the cost by bypassing insurance processing fees. Additionally, if you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to request an itemized audit to identify errors such as unbundled codes or services not rendered. Remember that the No Surprises Act protects you from balance billing for emergency and non-emergency services at in-network facilities, so do not sign away your rights to dispute any surprise charges without first reviewing the detailed statement.