Blood test, calcium
Facility: Children'S Mercy South
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $40
- Cash Discount Price: $29
- vs. Medicare Baseline: 7.75x 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 775% of the Medicare baseline (a markup of 675%). 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 | $5 - $41 | 97% |
| Medicaid / KanCare | $6 | 116% |
| Healthy Blue | $6 - $14 | 116% |
| Home State Health | $12 | 233% |
| Blue Cross Blue Shield | $25 - $45 | 484% |
| Cigna | $29 - $42 | 562% |
| Medica | $36 | 698% |
| Aetna | $37 - $41 | 717% |
| Orscheln | $40 | 775% |
| Wppa Providrs Care | $40 | 775% |
| Nebraska Furniture Mart | $40 | 775% |
| Quiktrip | $40 | 775% |
| Centivo | $40 | 775% |
| Wellfit/Centrus | $40 | 775% |
| Health Midwest Comprehensive Care | $40 | 775% |
| Humana | $41 | 795% |
| Coxhealth Network | $45 | 872% |
| Coventry Health Care Of Kansas | $45 | 872% |
| Multiplan | $46 | 891% |
| Mercy Health | $46 | 891% |
| American Healthcare Alliance | $52 | 1008% |
| Healthlink | $54 | 1047% |
| National Preferred Provider Network | $55 | 1066% |
Consumer Guidance & Cost Commentary
For the CPT code 82310 (Blood test, calcium) at Children's Mercy South in Overland Park, KS, the facility's cash median price is $29.00, which is significantly lower than the gross chargemaster rate of $61.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Healthy Blue range from $5 to $14, these amounts are generally higher than the cash price, illustrating that paying out-of-pocket can sometimes be more cost-effective for patients with high-deductible plans or those without insurance. It is important to note that the facility's negotiated rate of $40.00 is higher than the state average for this service, and patients should verify their specific plan's allowed amount before scheduling to avoid unexpected costs.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it does not automatically eliminate all potential charges if ancillary services are billed separately. To ensure you receive the most accurate and transparent billing, request a full itemized CPT-coded bill before paying, as summary bills may obscure individual line items or unbundled charges. Additionally, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final amount owed by 20% to 50% if settled upfront, bypassing the administrative costs associated with insurance claims processing.