CMS Price Transparency Data

Blood test, calcium

Facility: Rockcastle County Hospital, Inc.

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $81
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 15.70x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Rockcastle County Hospital, Inc. is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 15.70x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $75 (1453%)
Insurance Median: $81 (1570%)
Cash: $75 (1453% of Medicare)
Ins. Median: $81 (1570% 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 1570% of the Medicare baseline (a markup of 1470%). 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.

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
Blue Cross Blue Shield $4 - $72 78%
Tricare $4 78%
Caresource Mcr Adv-All Other Plans $5 97%
Humana $5 97%
Molina Marketplace - All Other Plans $5 97%
Molina Mcr Adv $5 97%
Signature Mcr Adv-All Plans $5 97%
Wellcare Mcr Adv-All Other Plans $5 97%
Passport Hp Hmo - All Plans $25 - $28 484%
Multiplan-All Plans $79 - $89 1531%
Prime Health Services-All Plans $79 - $89 1531%
Integrated Hp-All Plans $83 - $93 1609%
Corvel - All Plans $84 - $94 1628%
Center Care-All Plans $88 - $100 1705%
Cigna $90 - $102 1744%
Caresource Mcaid $93 - $105 1802%
Coventry Mcaid-All Plans $93 - $105 1802%
Medicaid / KanCare $93 - $105 1802%
Molina Mcaid $93 - $105 1802%
UnitedHealthcare $93 - $105 1802%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals