Blood test, calcium
Facility: Golden Valley Memorial Hospital
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $5
- Cash Discount Price: $44
- vs. Medicare Baseline: 0.97x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $5 | 97% |
| Home State Health | $5 | 97% |
| Humana | $5 | 97% |
| UnitedHealthcare | $5 - $9 | 97% |
| Ambetter / Centene | $6 | 116% |
Consumer Guidance & Cost Commentary
For the CPT code 82310, representing a blood test for calcium, the cash price at Golden Valley Memorial Hospital is exactly $44. This cash rate is significantly lower than the facility's gross charge of $73 and stands in contrast to the state of Missouri average, which is $5. While the facility's negotiated rate for in-network payers is $5, the cash price of $44 may offer a more affordable option for patients with high-deductible plans or those who have not yet met their out-of-pocket maximum, as commercial negotiated rates often exceed cash prices due to administrative overhead.
Patients should verify if their specific insurance plan allows them to pay the cash price directly, as this can sometimes result in lower out-of-pocket costs compared to the standard negotiated rate. It is important to note that while the No Surprises Act protects consumers from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected ancillary services could still trigger separate charges. To ensure the lowest possible cost, consumers are advised to request a prompt-pay or self-pay discount before scheduling the test and to demand a full itemized bill to avoid summary billing errors.