Blood test, calcium
Facility: Neosho Memorial Regional Medical Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $15
- Cash Discount Price: $35
- vs. Medicare Baseline: 2.91x 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 291% of the Medicare baseline (a markup of 191%). 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 |
|---|---|---|
| Medicaid / KanCare | $5 | 97% |
| Blue Cross Blue Shield | $12 - $38 | 233% |
| Medadv_Allwell | $14 - $38 | 271% |
| Tricare | $14 - $37 | 271% |
| Medicare (plans) | $14 - $38 | 271% |
| Medadv_Uhc | $14 - $38 | 271% |
| Humana | $14 - $38 | 271% |
| Aetna | $14 - $38 | 271% |
| Va_Ccn | $14 - $38 | 271% |
| Ambetter / Centene | $15 - $40 | 291% |
| United | $37 - $99 | 717% |
| Wppa_Providrscare | $37 - $99 | 717% |
| Coventry | $42 - $113 | 814% |
| Hpk | $42 - $113 | 814% |
| Cigna | $42 - $113 | 814% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Neosho Memorial Regional Medical Center, the cash price of $35.00 is lower than the median negotiated rate of $44.00 paid by insurance plans. While the facility is a Critical Access Hospital in Chanute, KS, with a government-local ownership structure, patients should be aware that insurance contracts often result in higher costs than paying out-of-pocket. For individuals with high-deductible plans, paying the cash price of $35.00 upfront can sometimes be more economical than having an insurance plan pay a negotiated rate that exceeds the cash amount, as the patient would still be responsible for meeting their deductible before receiving reimbursement.
To ensure you are receiving the best possible rate, it is recommended to explicitly ask the facility about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can further reduce the final bill. Additionally, if you are using insurance, be cautious of balance billing, which occurs when a provider bills you for the difference between their full charge and what your insurance pays, particularly for out-of-network services. Since the No Surprises Act protects patients from balance billing for emergency care and non-emergency services at in-network facilities, you should dispute any unexpected bills immediately and request a formal audit rather than accepting summary invoices or signing away your rights to contest out-of-network charges.