Blood test, calcium
Facility: Bob Wilson Memorial Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $47
- Cash Discount Price: $23
- vs. Medicare Baseline: 9.11x 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 911% of the Medicare baseline (a markup of 811%). 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 |
|---|---|---|
| Centura Employee Plan | $6 | 116% |
| Blue Cross Blue Shield | $15 | 291% |
| Medicare (plans) | $18 | 349% |
| Aetna | $18 - $46 | 349% |
| Humana | $18 | 349% |
| UnitedHealthcare | $18 - $48 | 349% |
| Kansas Health | $18 | 349% |
| Multiplan | $51 - $53 | 988% |
| Health Partners Of Kansas | $54 | 1047% |
| Wppa | $54 | 1047% |
Consumer Guidance & Cost Commentary
For this blood calcium test (CPT 82310) at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash price of $23.00 is significantly lower than the state average and the negotiated rates paid by most major insurers. While Medicare reimburses $5.16 and the median negotiated rate across ten payers is $47.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds $23.00. Because commercial contracts often include administrative overhead that inflates the baseline price, paying out-of-pocket can sometimes result in lower out-of-pocket costs compared to using insurance, provided the patient's deductible has been met.
To ensure you are not overcharged, it is critical to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Additionally, patients should verify if the facility offers a prompt-pay discount, which could further reduce the $23.00 cash price by 20% to 50% if paid in full upfront. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act protects you from paying the difference between the provider's chargemaster and your insurance allowed amount for emergency care and non-emergency services at in-network facilities. Always dispute any surprise bills in writing and avoid signing consent waivers that waive your rights to these federal protections.