CMS Price Transparency Data

Blood test, calcium

Facility: UMass Memorial Health - Harrington Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $9
Cash Discount Price: $51
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at UMass Memorial Health - Harrington Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.74x the Medicare baseline. Located in 100 South Street, Southbridge, MA.

Cash / Self-Pay

$51

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $51 (988%)

Insurance Median: $9 (174%)

Cash: $51 (988% of Medicare)

Ins. Median: $9 (174% 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.

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
Aetna	$5 - $51	97%
Blue Cross Blue Shield	$5 - $12	97%
Cigna	$5 - $36	97%
Commonwealth Care Alliance [10103]	$5	97%
Fallon Mcr Supp [20202]	$5	97%
Fallon Mcr [10105]	$5	97%
Institution [10406]	$5	97%
Medicaid / KanCare	$5 - $6	97%
Mgb Mcr [10124]	$5	97%
Tufts Mcr [10112]	$5	97%
Tufts Us Family [11203]	$5	97%
UnitedHealthcare	$5 - $51	97%
Champva [11001]	$6	116%
Masshealth [20302]	$6	116%
Senior Whole Health [10110]	$6	116%
Workers Compensation [20501]	$7	136%
Tufts Connectorcare [10507]	$9	174%
Wellpoint [11112]	$14	271%
Harvard Pilgrim [10701]	$19 - $23	368%
Hne [11108]	$33	640%
Tufts [11201]	$36	698%
First Health Network [11120]	$38	736%
Fallon Connectorcare [10503]	$40	775%
Evernorth Behavioral Health [27]	$41	795%
Connecticare [11105]	$51	988%
Fallon Carelon Hlth [28]	$51	988%
Fallon Mcaid Carelon Hlth [29]	$51	988%
Grants [20507]	$51	988%
Masshealth Mcd Mbhp [38]	$51	988%
Wellsense Mcaid Carelon Hlth [21]	$51	988%
Hsno/Free Care [10801]	$681	13198%

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 $51.
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 UMass Memorial Health - Harrington Hospital 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.