CMS Price Transparency Data

Blood test, calcium

Facility: Mercy Hospital Stoddard

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $9
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Mercy Hospital Stoddard is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.74x the Medicare baseline. Located in 1200 N One Mile Rd, Dexter, MO.
Cash / Self-Pay
$49

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: $49 (950%)
Insurance Median: $9 (174%)
Cash: $49 (950% 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
Acentra Health Contracted [320527] $5 97%
Aetna $5 - $56 97%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $5 97%
Blue Cross Blue Shield $5 - $68 97%
Cross Timbers Hospice [20098] $5 97%
Dept Of Veteran Affairs Contracted [320106] $5 97%
Elara Caring Aspire Hospice Contracted [320433] $5 97%
Elara Caring Aspire Hospice [20433] $5 97%
Halo Hcr Inc Hospice Contracted [320432] $5 97%
Halo Hcr Inc Hospice [20432] $5 97%
Humana $5 97%
Kindful Hospice Contracted [320434] $5 97%
Kindful Hospice [20434] $5 97%
Medicaid / KanCare $5 - $75 97%
Medicare (plans) $5 97%
Mercy Hospice Okc [20252] $5 97%
Pace Of The Ozarks Contracted [320518] $5 97%
Tricare $5 97%
UnitedHealthcare $5 - $12 97%
Provider Partners Health Plans Contracted [320450] $6 116%
United Medical Resources Contracted [320454] $6 116%
Ambetter / Centene $7 136%
Consociate Consolidated Health Contracted [320490] $7 - $11 136%
Home State Health Plan Contracted [320187] $7 136%
Auxiant Contracted [320462] $9 - $10 174%
Ebms Contracted [320493] $9 174%
Healthlink Contracted [320179] $9 - $60 174%
Imagine 360 Contracted [320494] $9 174%
Mercy Benefit Admin Contracted [320251] $9 - $51 174%
Preferred Health Plan Contracted [320522] $9 174%
Reflect Health Contracted [320492] $9 174%
Yuzu Health Contracted [320521] $9 - $51 174%
Cigna $13 252%
Hope Trust Contracted [320488] $13 252%
Health Alliance Contracted [320164] $49 950%
Aither Health Contracted [320449] $51 988%
Edison Health Solutions Contracted [320502] $51 988%
Mercy Benefit Admin [20251] $51 988%
First Health Contracted [320128] $56 1085%
Workers Comp [20426] $56 - $60 1085%
Multiplan Contracted [320270] $60 1163%
Private Health Care Systems Contracted [320320] $60 1163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 N One Mile Rd, Dexter, MO 63841
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals