CMS Price Transparency Data

Blood test, calcium

Facility: Mercy St Francis Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $86
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 16.67x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Mercy St Francis Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 16.67x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $62 (1202%)
Insurance Median: $86 (1667%)
Cash: $62 (1202% of Medicare)
Ins. Median: $86 (1667% 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 1667% of the Medicare baseline (a markup of 1567%). 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
Blue Cross Blue Shield $5 - $93 97%
Medicaid / KanCare $5 - $50 97%
Medicare (plans) $5 - $34 97%
UnitedHealthcare $7 - $91 136%
Aetna $33 - $85 640%
Cherokee Nation Health Serv Contracted [320066] $33 640%
Cigna $33 - $91 640%
Cross Timbers Hospice [20098] $33 640%
Dept Of Veteran Affairs Contracted [320106] $33 640%
Elara Caring Aspire Hospice [20433] $33 640%
Globalhealth Contracted [320145] $33 640%
Halo Hcr Inc Hospice Contracted [320432] $33 640%
Halo Hcr Inc Hospice [20432] $33 640%
Humana $33 - $86 640%
Indian Health Service Contracted [320198] $33 640%
Kindful Hospice Contracted [320434] $33 640%
Kindful Hospice [20434] $33 640%
Medical Associates Health Contracted [320444] $33 640%
Mercy Hospice Okc [20252] $33 640%
Mercy Mgd Behavioral Health Contracted [320259] $33 640%
Pace Of The Ozarks Contracted [320518] $33 640%
Provider Partners Health Plans Contracted [320450] $33 640%
Qual Choice Contracted [320325] $33 640%
Tricare $33 640%
Administrative Payor Contracted [320005] $43 833%
Healthscope Contracted [320182] $44 853%
Ambetter / Centene $50 969%
Home State Health Plan Contracted [320187] $50 969%
Novasys Contracted [320285] $50 969%
Centivo Contracted [320505] $56 1085%
Healthlink Contracted [320179] $62 - $91 1202%
Preferred Health Plan Contracted [320522] $62 1202%
Workers Comp [20426] $77 - $82 1492%
Auxiant Contracted [320462] $86 - $91 1667%
Mercy Benefit Admin Contracted [320251] $86 - $91 1667%
Point C Contracted [320238] $86 - $91 1667%
United Medical Resources Contracted [320454] $86 - $89 1667%
90 Degree Benefits Contracted [320436] $91 1764%
Aither Health Contracted [320449] $91 1764%
Benefit Management Contracted [320052] $91 1764%
Ebms Contracted [320493] $91 1764%
Edison Health Solutions Contracted [320502] $91 1764%
Evolutions Health Care Contracted [320124] $91 1764%
First Health Contracted [320128] $91 1764%
Health Systems Inc Contracted [320174] $91 1764%
Imagine 360 Contracted [320494] $91 1764%
Insurance System Inc Contracted [320465] $91 1764%
Medica Contracted [320239] $91 1764%
Multiplan Contracted [320270] $91 1764%
Point C [20238] $91 1764%
Private Health Care Systems Contracted [320320] $91 1764%
Reflect Health Contracted [320492] $91 1764%
Show-Me Health Administrators Contracted [320483] $91 1764%
Usa Managed Care Org Contracted [320429] $91 1764%
Yuzu Health Contracted [320521] $91 1764%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Highway 60, Po Box 82, Mountain View, MO 65548
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals