CMS Price Transparency Data

Blood test, calcium

Facility: Osborne County Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $139
  • Cash Discount Price: $131
  • vs. Medicare Baseline: 26.94x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Osborne County Memorial Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 26.94x the Medicare baseline. Located in 237 W Harrison Street Suite 100, Osborne, KS.
Cash / Self-Pay
$131

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $131 (2539%)
Insurance Median: $139 (2694%)
Cash: $131 (2539% of Medicare)
Ins. Median: $139 (2694% of 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 2694% of the Medicare baseline (a markup of 2594%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $117 2267%
Health Partners Of Kansas $132 2558%
Wppa $146 2829%
Blue Cross Blue Shield $151 2926%

Consumer Guidance & Cost Commentary

For the CPT code 82310 (Blood test, calcium) at Osborne County Memorial Hospital in Osborne, KS, the facility's cash price of $131.00 is notably lower than the negotiated rates paid by commercial insurers, which range from $117 to $151 depending on the payer. This facility, a Critical Access Hospital owned by the local government, charges significantly less than the state average for this service, as indicated by a 26.9% variance compared to Medicare rates. While commercial payers like UnitedHealthcare and Blue Cross Blue Shield have negotiated rates that exceed the cash price, patients with high-deductible plans may find it financially advantageous to pay the cash price directly, provided they confirm the facility accepts their insurance and the negotiated rate does not exceed the out-of-pocket maximum.

To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees. It is also important to request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Finally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should verify that all ancillary services, such as specific lab tests, are covered under the facility's network agreements to avoid unexpected additional charges.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 237 W Harrison Street Suite 100, Osborne, KS 67473
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals