CMS Price Transparency Data

Blood test, calcium

Facility: Essentia Health St Mary's Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $14
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 2.71x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Essentia Health St Mary's Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.71x the Medicare baseline. Located in 402 East Second Street, Duluth, MN.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $48 (930%)
Insurance Median: $14 (271%)
Cash: $48 (930% of Medicare)
Ins. Median: $14 (271% 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 271% of the Medicare baseline (a markup of 171%). 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
Advocare/Security Health $5 97%
Blue Cross Blue Shield $5 - $55 97%
Freedom Blue Ppo $5 97%
Healthpartners Care Msho / Mcr Adv $5 97%
Imcare Msho (Ref Req) $5 97%
Imcare Msho Pcc Prime $5 97%
Imcare Msho Ref Req $5 97%
Itasca Med Care $5 97%
Medica Access $5 - $24 97%
Medica Advantage Solutions $5 97%
Medica Msho/Dual Solutions $5 97%
Medica Prime Solution Group $5 97%
Medicare (plans) $5 97%
Nd Va Administration $5 97%
Platinum Blue / Vantage Blue $5 97%
Primewest $5 97%
Primewest Msho $5 97%
Secure Blue Msho $5 97%
Ubh Cost Plan $5 97%
Ubh Msho $5 97%
Ucare Msho $5 97%
UnitedHealthcare $5 - $53 97%
Healthpartners Care Pmap $6 - $29 116%
Blue Plus Pmap Pcc Prime $7 - $36 136%
Sanford Health Plan $7 - $33 136%
Medica $9 - $41 174%
Medica Uplan $9 - $40 174%
Healthpartners $10 - $52 194%
Medica Choice $10 - $45 194%
Cigna $11 - $52 213%
Healthpartners Pcc Prime $11 - $52 213%
Ucare $11 - $48 213%
America'S Ppo $12 - $57 233%
Security Health $12 - $56 233%
Wea $12 - $56 233%
Wps $13 - $61 252%
Aetna $14 - $62 271%
Healtheos $14 - $63 271%
Healthscope Benefits $14 - $62 271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals