CMS Price Transparency Data

Blood test, calcium

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $9
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Munson Healthcare Otsego Memorial Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.74x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $23 (446%)
Insurance Median: $9 (174%)
Cash: $23 (446% 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.

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 $1 - $26 19%
UnitedHealthcare $2 - $34 39%
Mclaren Health Plan $3 - $35 58%
Meridian $3 58%
Molina $3 - $6 58%
Priority Health $3 - $22 58%
Aetna $4 - $34 78%
Blue Care Network $5 97%
Cigna $5 - $22 97%
Hap (Health Alliance Plan) $5 - $34 97%
Humana $5 97%
Medicare (plans) $5 97%
Michigan Amish Medical Board $5 97%
Northern Michigan Mennonite Group $5 97%
Hospice Of Michigan $7 - $25 136%
Munson Hospice $8 - $852 155%
Asr Physicians Care Network $9 - $34 174%
Cofinity $9 - $38 174%
Employee Benefit Logistics $9 174%
Enterprise Group Planning/Employee Benefit Plan $9 - $34 174%
Nomi Health $9 - $34 174%
Provider Network Of America/Hawaii Mainland Administrative Group Health $9 - $36 174%
Three Rivers Provider Network $9 - $36 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 825 N Center Ave, Gaylord, MI 49735
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals