Blood test, calcium
Facility: Lindsborg Community Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $65
- Cash Discount Price: $50
- vs. Medicare Baseline: 12.60x 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 1260% of the Medicare baseline (a markup of 1160%). 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% |
| Tricare | $34 | 659% |
| Coventry Mcr Adv | $34 | 659% |
| Cigna | $61 | 1182% |
| Coventry Comm-All Other Plans | $64 | 1240% |
| UnitedHealthcare | $64 | 1240% |
| Phcs Preferred-All Plans | $66 | 1279% |
| Multiplan-All Plans | $66 | 1279% |
| Coventry Wc | $68 | 1318% |
| Health Partners -All Plans | $68 | 1318% |
| Wppa-All Plans | $68 | 1318% |
| Century Health-All Plans | $68 | 1318% |
Consumer Guidance & Cost Commentary
For this blood calcium test (CPT 82310) at Lindsborg Community Hospital, the cash price is $50.00, which is lower than the facility's negotiated rates of $65.00 to $67.00 paid by insurance carriers like Blue Cross Blue Shield and Tricare. This price difference highlights a common billing dynamic where commercial insurance contracts often exceed cash prices due to administrative costs and network agreements. For patients with high-deductible plans or those without insurance, paying the cash price of $50.00 upfront may result in lower out-of-pocket costs compared to having insurance cover a negotiated rate that exceeds the cash amount. Additionally, patients should verify if the hospital offers a "prompt-pay" discount for settling the bill in full within 30 days, which could further reduce the final amount owed.
The facility's negotiated rates for this service are significantly higher than the Medicare benchmark of $5.16, illustrating the typical markup found in commercial healthcare pricing. While the data does not provide specific county or state average comparisons for this exact code, the gap between the Medicare rate and the facility's cash price underscores the importance of understanding the true cost baseline. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it does not apply to self-pay scenarios. To ensure transparency, consumers are encouraged to request an itemized bill before payment to confirm all charges are accurate and to avoid unexpected fees related to services not rendered or unbundled components.