Blood test, calcium
Facility: William Newton Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $19
- Cash Discount Price: $50
- vs. Medicare Baseline: 3.68x 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 368% of the Medicare baseline (a markup of 268%). 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 |
|---|---|---|
| UnitedHealthcare | $2 - $47 | 39% |
| Blue Cross Blue Shield | $11 - $19 | 213% |
| Triwest- All Plans | $14 - $18 | 271% |
| Ambetter / Centene | $15 - $52 | 291% |
| Providrs Care Nexus | $25 - $32 | 484% |
| Providrs Care - All Other Plans | $28 - $36 | 543% |
Consumer Guidance & Cost Commentary
For this blood calcium test at William Newton Hospital in Winfield, KS, the cash price is $50.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 3.7x markup relative to Medicare's benchmark rate of $5.16. While commercial insurance plans like UnitedHealthcare and Blue Cross Blue Shield negotiate rates ranging from $11 to $52 depending on the specific plan, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the $50.00 cash rate directly, as this avoids the administrative overhead and potential higher negotiated fees charged to insured members.
To ensure you are receiving the best possible rate, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront. Additionally, if you have insurance, verify whether the specific test is covered under your plan's deductible before scheduling, as paying the negotiated rate without meeting your deductible can result in higher out-of-pocket costs than paying cash. If you receive a bill that includes unexpected charges or broad category summaries, request a full itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected.