Blood test, calcium
Facility: St Luke Hospital & Living Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $27
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 5.23x 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 523% of the Medicare baseline (a markup of 423%). 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 | $27 | 523% |
| Blue Cross Blue Shield | $27 | 523% |
| UnitedHealthcare | $27 | 523% |
| Bluestem Pace | $27 | 523% |
| Ambetter / Centene | $27 | 523% |
| Kansas Department Of Health And Environment | $27 | 523% |
| Humana | $27 | 523% |
Consumer Guidance & Cost Commentary
For the blood test for calcium (CPT 82310) at St Luke Hospital & Living Center in Marion, KS, the facility's negotiated rate is $27.00, which matches the lowest and highest negotiated rates reported across all seven payers, including UnitedHealthcare, Humana, and the Kansas Department of Health and Environment. This rate is significantly lower than the facility's gross charge of $53.00 and aligns with the state average, as no specific county average was provided in the data. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that cash-pay options are not listed in this report; however, hospitals often offer prompt-pay discounts for upfront payment, which can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
The Medicare benchmark for this service is $5.16, and the facility's negotiated rate of $27.00 represents a 5.2% increase over the Medicare amount. Although commercial negotiated rates typically range from 200% to 300% of Medicare, this specific code shows a relatively modest markup compared to the gross charge, suggesting a competitive contract structure. Patients with high-deductible plans should verify if paying cash directly could result in lower out-of-pocket costs than their insurance allowed amount, as insurance negotiated rates can sometimes exceed cash prices if the patient meets their deductible. To ensure the lowest possible cost, it is recommended to request a formal itemized bill before scheduling and to inquire explicitly about self-pay or prompt-pay discounts, as billing systems may default to insurance processing if a card is on file without prior authorization.