CMS Price Transparency Data

Blood test, calcium

Facility: Essentia Health St Marys - Detroit Lakes

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $41
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 7.95x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Essentia Health St Marys - Detroit Lakes is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 7.95x the Medicare baseline. Located in 1027 Washington Ave, Detroit Lakes, MN.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $58 (1124%)
Insurance Median: $41 (795%)
Cash: $58 (1124% of Medicare)
Ins. Median: $41 (795% 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 795% of the Medicare baseline (a markup of 695%). 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 - $69 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 - $76 97%
Sanford Healthplan $17 - $41 329%
Healthpartners Care Pmap $35 678%
Medica Uplan $58 1124%
Ucare $60 1163%
Healthpartners $61 - $67 1182%
Medica $64 - $71 1240%
Wea $66 - $70 1279%
Cigna $67 1298%
Healthpartners Pcc Prime $67 1298%
America'S Ppo $71 1376%
Medica Choice $73 1415%
Wps $76 1473%
Aetna $77 1492%
Healtheos $78 1512%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1027 Washington Ave, Detroit Lakes, MN 56501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals