CMS Price Transparency Data

Blood test, calcium

Facility: Boston Children's Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $62
Cash Discount Price: $88
vs. Medicare Baseline: 12.02x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Boston Children's Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 12.02x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$62

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: $88 (1705%)

Insurance Median: $62 (1202%)

Cash: $88 (1705% of Medicare)

Ins. Median: $62 (1202% 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 1202% of the Medicare baseline (a markup of 1102%). 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
Blue Cross Blue Shield	$19 - $58	368%
Unicare	$20	388%
Cdphp	$43 - $75	833%
Harvard Pilgrim	$45 - $59	872%
Aetna	$53 - $74	1027%
United	$53 - $74	1027%
Mgb/Allways	$54 - $65	1047%
Tufts Public Plan	$54	1047%
United Ri Nj Ny	$55	1066%
Ambetter / Centene	$56	1085%
Carelon Strategies/Bhs	$57	1105%
UnitedHealthcare	$57 - $75	1105%
Carelon/Beacon	$66	1279%
Fallon	$67 - $68	1298%
Health New England	$71	1376%
Cigna	$75 - $79	1453%
Ets/Lifetrac	$75	1453%
Interlink Transplant	$75	1453%
Community Health Options	$79	1531%
Humana	$79	1531%
Coventry/Hcvm/First Health	$81	1570%
Multiplan/Phcs	$81 - $84	1570%

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 $88.
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 Boston Children's 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.