CMS Price Transparency Data

Blood test, calcium

Facility: Essentia Health Virginia

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $34
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 6.59x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Essentia Health Virginia is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 6.59x the Medicare baseline. Located in 901 9Th Street North, Virginia, MN.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $46 (891%)
Insurance Median: $34 (659%)
Cash: $46 (891% of Medicare)
Ins. Median: $34 (659% 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 659% of the Medicare baseline (a markup of 559%). 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 - $62 97%
Freedom Blue Ppo $5 97%
Healthpartners Care Msho / Mcr Adv $5 97%
Imcare Msho Pcc Prime $5 97%
Imcare Msho Ref Req $5 97%
Itasca Med Care $5 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 - $64 97%
Medica Access $17 329%
Sanford Healthplan $17 - $33 329%
Healthpartners Care Pmap $29 562%
Blue Plus Pmap Pcc Prime $34 - $49 659%
Medica $46 - $52 891%
Medica Uplan $46 891%
Ucare $48 930%
Healthpartners $52 - $66 1008%
Medica Choice $53 1027%
Wea $53 - $56 1027%
Security Health $56 1085%
America'S Ppo $57 1105%
Wps $61 1182%
Aetna $62 1202%
Cigna $66 1279%
Healthpartners Pcc Prime $66 1279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals