Blood test, calcium
Facility: Smith County Memorial Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $21
- Cash Discount Price: $22
- vs. Medicare Baseline: 4.07x 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 407% of the Medicare baseline (a markup of 307%). 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 | $12 - $41 | 233% |
| Multiplan-All Plans | $15 - $37 | 291% |
| UnitedHealthcare | $16 - $39 | 310% |
| Health Partners Of Ks Ppo-All Plans | $16 - $39 | 310% |
| Wppa-All Plans | $16 - $39 | 310% |
| Midlands Choice-All Plans | $16 - $39 | 310% |
Consumer Guidance & Cost Commentary
Smith County Memorial Hospital's cash price for a blood calcium test (CPT 82310) is $22.00, which matches the facility's negotiated rate and exceeds the state average by 4.1%. While Medicaid and other payers negotiate rates ranging from $11 to $41 depending on the plan, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as commercial negotiated rates often exceed the cash amount. To secure the lowest possible cost, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees.
For transparency, it is important to compare this charge against the Medicare benchmark rather than the hospital's inflated list price. The Medicare allowed amount for this procedure is $5.16, meaning the cash price of $22.00 represents a markup relative to the federal cost baseline. If you have insurance, verify your specific plan's negotiated rate before visiting, as in-network contracts vary widely and some plans may pay significantly less than the facility's standard negotiated rate of $21.00. Always request a detailed, itemized bill if you receive a summary invoice, as this allows you to identify any unbundled charges or services not rendered, ensuring you are only paying for the exact procedure performed.