CMS Price Transparency Data

Blood test, calcium

Facility: Hermann Area District Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $25
Cash Discount Price: $25
vs. Medicare Baseline: 4.84x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Hermann Area District Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 4.84x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $25 (484%)

Insurance Median: $25 (484%)

Cash: $25 (484% of Medicare)

Ins. Median: $25 (484% 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 484% of the Medicare baseline (a markup of 384%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Coventry - All Plans	$2	39%
UnitedHealthcare	$8 - $19	155%
Cigna	$15 - $18	291%
Tricare	$15 - $18	291%
Choicecare Mcr Adv- All Plans	$16 - $19	310%
Aetna	$17 - $43	329%
American Hlth Mcr Adv- All Plans	$17 - $20	329%
Blue Cross Blue Shield	$17 - $37	329%
Humana	$17 - $20	329%
Wellcare Mcr Adv - All Plans	$17 - $20	329%
Harmony Hp Mcaid- All Plans	$22 - $26	426%
Healthcare Usa Mcaid- All Plans	$25 - $30	484%
Healthlink Hmo	$25 - $30	484%
Ambetter / Centene	$27 - $32	523%
Healthlink Ppo - All Other Plans	$28 - $34	543%
Multiplan/Phcs - All Plans	$28 - $34	543%
Comp Results - All Plans	$34 - $41	659%
Three Rivers - All Plans	$34 - $41	659%
Care Partners Mcaid- All Plans	$38 - $46	736%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $25.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82310.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hermann Area District Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82310.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.