CMS Price Transparency Data
Blood test, calcium
Facility: Mercy Health Saint Mary's
Billing Code: 82310 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82310
- Insurance Median: $30
- Cash Discount Price: $215
- vs. Medicare Baseline: 5.81x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Mercy Health Saint Mary's is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $215. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 5.81x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$215
Average discount available for prompt cash payment at this facility.
Insurance Median
$30
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: $215 (4167%)
Insurance Median: $30 (581%)
Cash: $215 (4167% of Medicare)
Ins. Median: $30 (581% 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 581% of the Medicare baseline (a markup of 481%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| U Of M Health Plan | $2 - $30 | 39% |
| Blue Cross Blue Shield | $3 - $208 | 58% |
| Medicaid / KanCare | $3 - $121 | 58% |
| Access Health | $4 - $148 | 78% |
| Aetna | $5 - $208 | 97% |
| Align Senior Care | $5 - $212 | 97% |
| Blue Care Network Advantage | $5 - $208 | 97% |
| Correctional Recovery | $5 - $212 | 97% |
| Hospice Faith | $5 - $212 | 97% |
| Hospice Of Holland | $5 - $212 | 97% |
| Medicare (plans) | $5 - $208 | 97% |
| Oscar | $5 - $271 | 97% |
| UnitedHealthcare | $5 - $218 | 97% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $6 - $239 | 116% |
| Molina Marketplace | $7 - $276 | 136% |
| Geha | $8 - $30 | 155% |
| Medical Mutual | $8 | 155% |
| Meritain | $8 | 155% |
| Preferred One | $8 | 155% |
| Vitalcore | $8 - $328 | 155% |
| Wellpath | $8 - $328 | 155% |
| Nomi Health | $22 | 426% |
| Wc Accident Fund | $22 | 426% |
| Wc Advantage | $22 | 426% |
| Wc Aig | $22 | 426% |
| Wc Allied | $22 | 426% |
| Wc Amerisure | $22 | 426% |
| Wc Amtrust | $22 | 426% |
| Wc Asu Risk Mgt | $22 | 426% |
| Wc Berkley Admin | $22 | 426% |
| Wc Broadspire | $22 | 426% |
| Wc Bunch & Associates | $22 | 426% |
| Wc Ccmsi | $22 | 426% |
| Wc Emc Insurance Company | $22 | 426% |
| Wc Esis | $22 | 426% |
| Wc Fcci | $22 | 426% |
| Wc Federated | $22 | 426% |
| Wc Gallagher Bassett | $22 | 426% |
| Wc Genex Care For Ohio | $22 | 426% |
| Wc Guard Insurance Company | $22 | 426% |
| Wc Hartford | $22 | 426% |
| Wc Liberty Mutual | $22 | 426% |
| Wc Meijers | $22 | 426% |
| Wc Michigan | $22 | 426% |
| Wc Mitchell Frankenmuth | $22 | 426% |
| Wc Pma | $22 | 426% |
| Wc Sedgwick | $22 | 426% |
| Wc Sentry | $22 | 426% |
| Wc Travelers | $22 | 426% |
| Wc Tristar | $22 | 426% |
| Wc Walmart | $22 | 426% |
| Wc Zurich | $22 | 426% |
| Acs Benefit Services | $23 | 446% |
| Allied Benefit Systems | $23 | 446% |
| Claimchoice Adminstrators | $23 | 446% |
| Consociate | $23 | 446% |
| Cypress Benefit Administrators | $23 | 446% |
| Forest County Potawatomi | $23 | 446% |
| Health Smart | $23 | 446% |
| Healthgram | $23 | 446% |
| Healthscope | $23 | 446% |
| Secureone Preferred United Plans | $23 | 446% |
| Sisco Benefits | $23 | 446% |
| The Health Plan | $23 | 446% |
| Trustmark Small Business Benefits | $23 | 446% |
| Unified Group Services | $23 | 446% |
| Webtpa | $23 | 446% |
| Asr Health Benefits | $25 | 484% |
| Hap | $25 - $31 | 484% |
| Caresource | $26 | 504% |
| Varipro | $26 | 504% |
| Priority Health | $28 - $29 | 543% |
| 1199 National Benefit Fund | $29 | 562% |
| Allied National Global Care | $29 | 562% |
| Asrm - Reliance Standard Life Insurance | $29 | 562% |
| Christian Care Ministry | $29 | 562% |
| Cigna | $29 | 562% |
| Dean Health | $29 | 562% |
| Fallon Health | $29 | 562% |
| Family Life Insurance Company | $29 | 562% |
| Ghc Scw | $29 | 562% |
| Group Pension Administrators | $29 | 562% |
| International Benefit Administrators | $29 | 562% |
| Lifetime Benefit Solutions | $29 | 562% |
| Manhattan Life | $29 | 562% |
| Medi Share | $29 | 562% |
| Multiplan | $29 | 562% |
| Mvp | $29 | 562% |
| Pai | $29 | 562% |
| Pan-American Life | $29 | 562% |
| Paramount Hmo | $29 | 562% |
| Phcs | $29 | 562% |
| Trinity Health Share | $29 | 562% |
| Acclaim | $30 | 581% |
| Administrative Concepts | $30 | 581% |
| Allegeant | $30 | 581% |
| Ameriben | $30 | 581% |
| American Family | $30 | 581% |
| American Healthcare Alliance | $30 | 581% |
| American Republic | $30 | 581% |
| Amerihealth | $30 | 581% |
| Aultcare | $30 | 581% |
| Automated Benefit Services | $30 | 581% |
| Auxiant | $30 | 581% |
| Benefit Administrative Systems,Llc | $30 | 581% |
| Boon Chapman | $30 | 581% |
| Cam Administrative Services | $30 | 581% |
| Christian Brother Services | $30 | 581% |
| Christian Brothers Holy Cross | $30 | 581% |
| Comprehensive Benefits | $30 | 581% |
| Continental Life Insurance | $30 | 581% |
| Custom Benefit Administrators | $30 | 581% |
| Employee Benefit Concepts | $30 | 581% |
| Employee Benefit Management | $30 | 581% |
| Enterprise Group Planning | $30 | 581% |
| Freedom Life Insurance Company | $30 | 581% |
| Group Administrators | $30 | 581% |
| Group Marketing Services | $30 | 581% |
| Guardian | $30 | 581% |
| Health America | $30 | 581% |
| Health Choices | $30 - $208 | 581% |
| Healthez | $30 | 581% |
| Humana | $30 - $40 | 581% |
| Insight | $30 | 581% |
| Intercare | $30 | 581% |
| Jfp Benefit Management | $30 | 581% |
| Jp Farley Corporation | $30 | 581% |
| Key Benefit Administrator | $30 | 581% |
| Liberty Union Life Assurance Co | $30 | 581% |
| Lucent Health | $30 | 581% |
| Luminare Health | $30 | 581% |
| Luminare Health (Detroit) | $30 | 581% |
| Medben | $30 | 581% |
| Medcost | $30 | 581% |
| Mutual Health Services | $30 | 581% |
| Mutual Of Omaha | $30 | 581% |
| Ncas | $30 | 581% |
| Nippon Life Ins | $30 | 581% |
| Nova | $30 | 581% |
| Painters Union Insurance Fund | $30 | 581% |
| Physicians Mutual | $30 | 581% |
| Plumbers Local 98 Insurance Fund | $30 | 581% |
| Prairie States | $30 | 581% |
| Primary Physician Care | $30 | 581% |
| Professional Benefit Administrators | $30 | 581% |
| The Loomis Company | $30 | 581% |
| Unicare | $30 | 581% |
| Us Health And Life | $30 | 581% |
| Valenz | $30 | 581% |
| Western & Southern Financial Group | $30 | 581% |
| Wps | $30 | 581% |
| Coventry | $32 | 620% |
| First Health | $32 | 620% |
| Cmh Allegan County | $40 | 775% |
| Cmh Ausable Valley | $40 | 775% |
| Cmh Barry County | $40 | 775% |
| Cmh Berrien County | $40 | 775% |
| Cmh Cass County | $40 | 775% |
| Cmh Clinton-Eaton-Ingham County | $40 | 775% |
| Cmh Kalamazoo | $40 | 775% |
| Cmh Kent County | $40 | 775% |
| Cmh Lenawee County | $40 | 775% |
| Cmh Misc | $40 | 775% |
| Cmh Monroe County | $40 | 775% |
| Cmh Montcalm County | $40 | 775% |
| Cmh Muskegon County | $40 | 775% |
| Cmh Newaygo County | $40 | 775% |
| Cmh North Country | $40 | 775% |
| Cmh Northern Lakes County | $40 | 775% |
| Cmh Ottawa County | $40 | 775% |
| Cmh Van Buren County | $40 | 775% |
| Cmh West Mi County | $40 | 775% |
| Magellan Behavioral Health | $40 | 775% |
| Bcn Domestic | $208 | 4031% |
| Blue Benefit Administrators Of Massachusetts | $208 | 4031% |
| Blue Care Network | $208 | 4031% |
| Blue Distinction Transplant | $208 | 4031% |
| Blue Shield - Ca | $208 | 4031% |
| Blue Shield - Id (Regence) | $208 | 4031% |
| Blue Shield - Ny Highmark Northeastern | $208 | 4031% |
| Blue Shield - Ny Highmark Western | $208 | 4031% |
| Blue Shield - Pa (Highmark) | $208 | 4031% |
| Blue Shield - Wa (Regence) | $208 | 4031% |
| Kaiser Domestic | $208 | 4031% |