CMS Price Transparency Data

Blood test, calcium

Facility: Salem Memorial District Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $24
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 4.65x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Salem Memorial District Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 4.65x the Medicare baseline. Located in Po Box 774, Salem, MO.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $22 (426%)
Insurance Median: $24 (465%)
Cash: $22 (426% of Medicare)
Ins. Median: $24 (465% 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 465% of the Medicare baseline (a markup of 365%). 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
Aetna $7 - $52 136%
Ambetter / Centene $7 - $20 136%
Blue Cross Blue Shield $7 - $55 136%
Humana $7 - $49 136%
Tricare $7 - $20 136%
Triwest $7 - $20 136%
UnitedHealthcare $7 - $20 136%
Veteran'S Affairs $7 - $20 136%
Healthlink $14 - $38 271%
First Health $18 - $46 349%
Mercy - C.B. Management Company/Joplin Supply Company $18 - $46 349%
Mercy - City Of Springfield $18 - $46 349%
Mercy - Clayco $18 - $46 349%
Mercy - Commerce Bank $18 - $46 349%
Mercy - Diversified Plastics $18 - $46 349%
Mercy - Employers Benefit Alliance $18 - $46 349%
Mercy - Evolutions $18 - $46 349%
Mercy - Fabick Cat $18 - $46 349%
Mercy - Firsthealth Network $18 - $46 349%
Mercy - Health Management Network $18 - $46 349%
Mercy - Health Systems Inc $18 - $46 349%
Mercy - Liberty Utilities/Empire District Electric $18 - $46 349%
Mercy - Life Church $18 - $46 349%
Mercy - Missouri State University $18 - $46 349%
Mercy - Prime Health Services $18 - $46 349%
Mercy - Quiktrip Corporation $18 - $46 349%
Mercy - Shinesolar $18 - $46 349%
Mercy - Springfield Public Schools $18 - $46 349%
Mercy - Springfield Remanufacturing $18 - $46 349%
Mercy - Sumnerone $18 - $46 349%
Mercy - Trailiner $18 - $46 349%
Mercy - Walmart Mercy Accountable Care Plan $18 - $46 349%
Mercy-American Healthcare Alliance $18 - $46 349%
Phcs $18 - $49 349%
Cigna $19 - $49 368%
Mercy - Compresults $20 - $52 388%
Mercy - Corvel Corporation $20 - $52 388%
Mercy - Novasys $20 - $52 388%
Mercy - Scurlock Industries $20 - $52 388%
Mercy - Usa Managed Care Organization $20 - $52 388%
Right Choice-Alliance $21 - $55 407%
Right Choice-Regular $21 - $56 407%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Po Box 774, Salem, MO 65560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals