Blood test, calcium
Facility: Minneola District Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $57
- Cash Discount Price: $44
- vs. Medicare Baseline: 11.05x 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 1105% of the Medicare baseline (a markup of 1005%). 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% |
| Va Community Care Program-All Plans | $40 - $44 | 775% |
| Humana | $40 - $44 | 775% |
| UnitedHealthcare | $40 - $65 | 775% |
| Corporate Plan Management-All Plans | $51 - $55 | 988% |
| Providrs Care Network-All Plans | $51 - $55 | 988% |
| Preferred Health Care (Coventry)-All Other Plans | $54 - $58 | 1047% |
| Triwest-All Plans | $54 - $58 | 1047% |
| Health Partners Of Kansas-All Plans | $57 - $62 | 1105% |
| Phc (Coventry) Leased Network | $57 - $62 | 1105% |
| Aetna | $57 - $65 | 1105% |
| Medicaid / KanCare | $60 - $65 | 1163% |
Consumer Guidance & Cost Commentary
For the blood test, calcium procedure (CPT 82310) at Minneola District Hospital, the cash median price is $44.00, which is lower than the facility's negotiated rates of $57.00. While the facility is a Critical Access Hospital in Minneola, KS, and is owned by a Government Hospital District, patients should verify if their specific insurance plan has a negotiated rate that exceeds the cash price. In such cases, paying cash upfront or utilizing a prompt-pay discount may result in a lower out-of-pocket cost than using insurance, as administrative fees and contract structures often inflate commercial rates. It is advisable to contact the hospital directly to confirm self-pay or prompt-pay discounts before scheduling, as these rates can vary significantly based on payment method.
When evaluating the cost against federal benchmarks, the Medicare amount for this service is $5.16. Commercial negotiated rates, which average between 200% and 300% of Medicare, are notably higher than the cash price of $44.00, suggesting that the facility's cash rate is well below the typical commercial markup. Although the data does not provide specific state or county average comparisons for this exact code, the significant difference between the Medicare baseline and the cash median highlights the potential for substantial savings when paying directly. Patients are encouraged to request an itemized billing audit if they receive a summary bill, as over 80% of hospital bills contain errors that could be corrected to reduce the final amount owed.