Blood test, calcium
Facility: Amberwell Atchison Association
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $29
- Cash Discount Price: $56
- vs. Medicare Baseline: 5.62x 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 562% of the Medicare baseline (a markup of 462%). 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% |
| Triwest - All Plans | $17 - $19 | 329% |
| Superior Select Mcr Adv - All Plans | $17 - $19 | 329% |
| Va Ccn - All Plans | $17 - $19 | 329% |
| UnitedHealthcare | $17 - $104 | 329% |
| Humana | $17 - $26 | 329% |
| Ambetter / Centene | $27 - $30 | 523% |
| Aetna | $29 - $32 | 562% |
| Cigna | $29 - $32 | 562% |
| Oscar - All Plans | $40 - $44 | 775% |
| Centrus Health Direct - All Plans | $40 - $44 | 775% |
| Multiplan - All Plans | $41 - $45 | 795% |
| Wppa Providrs Care - All Plans | $48 - $52 | 930% |
Consumer Guidance & Cost Commentary
For the blood test, calcium procedure (CPT 82310), the cash price at Amberwell Atchison Association is $56.00, which matches the facility's median negotiated rate of $29.00 and the state of Kansas average. While commercial payers like UnitedHealthcare and Humana have negotiated rates ranging from $17 to $45, the cash price remains the lowest option available for this service. Patients with high-deductible plans may find it financially advantageous to pay the full $56.00 cash directly, as this avoids the administrative overhead and potential markup often associated with insurance billing cycles. It is important to verify with the hospital whether "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final cost.
When evaluating pricing, it is essential to compare rates against the Medicare benchmark rather than the facility's gross chargemaster, which can be inflated to obscure true costs. For this specific code, the Medicare amount is $5.16, meaning the cash price represents a significant markup above the federal baseline. However, the facility's median negotiated rate of $29.00 is substantially lower than the gross charge of $56.00, indicating that in-network contracts are providing meaningful protection against full list pricing. To ensure you are receiving the best possible rate, always request an itemized bill before payment and confirm that no balance billing will occur, as federal protections under the No Surprises Act prevent unexpected charges for out-of-network services at in-network facilities.