CMS Price Transparency Data

Blood test, calcium

Facility: St Claire Regional Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $50
Cash Discount Price: $53
vs. Medicare Baseline: 9.69x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at St Claire Regional Medical Center is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 9.69x the Medicare baseline. Located in 222 Medical Circle, Morehead, KY.

Cash / Self-Pay

$53

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)

Cash / Self-Pay: $53 (1027%)

Insurance Median: $50 (969%)

Cash: $53 (1027% of Medicare)

Ins. Median: $50 (969% of 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 969% of the Medicare baseline (a markup of 869%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$4 - $17	78%
Blue Cross Blue Shield	$5 - $51	97%
Caresource Mcr Adv	$5	97%
Humana	$5 - $50	97%
Caresource Just4Me - All Other Plans	$7	136%
Healthlink - All Plans	$49	950%
Wellcare Comm - All Other Plans	$60	1163%
Aetna	$71	1376%
Wellcare Mcaid	$71	1376%
Beacon Bh - All Plans	$75	1453%
Ky Health Co-Op - All Plans	$92	1783%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $53.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82310.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Claire Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82310.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.