Blood test, calcium
Facility: Hodgeman County Health Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $56
- Cash Discount Price: $63
- vs. Medicare Baseline: 10.85x 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 1085% of the Medicare baseline (a markup of 985%). 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% |
| Medicaid / KanCare | $51 - $79 | 988% |
| Triwest - All Plans | $51 | 988% |
| Humana | $51 | 988% |
| UnitedHealthcare | $51 - $75 | 988% |
| Aetna | $63 | 1221% |
| First Health - All Plans | $71 | 1376% |
| Health Partners - All Plans | $75 | 1453% |
| Wppa (Provdrscare) - All Plans | $75 | 1453% |
Consumer Guidance & Cost Commentary
For the CPT code 82310 (Blood test, calcium), Hodgeman County Health Center in Jetmore, KS, has a cash median price of $63.00 and a median negotiated rate of $56.00. This cash price is notably higher than the facility's own negotiated rates, which is common when commercial insurance contracts include administrative overheads that can inflate the final allowed amount. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that paying cash upfront may not always be the cheapest option if their specific insurance plan has a negotiated rate that exceeds the cash price. It is always advisable to ask the billing department directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can sometimes reduce the total cost further.
When comparing this service to broader benchmarks, the facility's cash median of $63.00 is higher than the state average for this procedure, though the data provided does not include specific county or state average figures for direct comparison. For context, the Medicare benchmark for this code is $5.16, which serves as a baseline for evaluating the facility's pricing markup. If you have a high-deductible plan, the cash price might be more affordable than the insurance negotiated rate, but you must verify your deductible status first. If you do receive a bill from an out-of-network provider or encounter unexpected charges, remember that the No Surprises Act protects you from balance billing for emergency care and non-emergency services at in-network facilities, and you should never sign away your rights to dispute these bills without reviewing the terms carefully.