CMS Price Transparency Data

Blood test, calcium

Facility: Merit Health Women's Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $5
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Merit Health Women's Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 0.97x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $33 (640%)
Insurance Median: $5 (97%)
Cash: $33 (640% of Medicare)
Ins. Median: $5 (97% 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
Cigna $1 - $66 19%
Self Pay $1 - $67 19%
UnitedHealthcare $1 - $87 19%
First Choice Mpcn $2 - $137 39%
First Choice Standard $2 - $140 39%
State Hospital $2 - $116 39%
Trimed Billing Solutions $2 - $92 39%
Coventry First Health $3 - $159 58%
First Choice Ppo Plus $3 - $168 58%
Aetna $4 - $214 78%
Benefit Management Systems $4 - $259 78%
First Choice Stratose $4 - $244 78%
Health Choice Of Mississippi $4 - $244 78%
Prime Health Services $4 - $244 78%
Tricare $4 - $5 78%
Advanced Health Systems $5 - $10 97%
Blue Cross Blue Shield $5 - $9 97%
Caresource Truecare $5 97%
Humana $5 97%
Magnolia Mcd Ms Chip $5 97%
Medicaid / KanCare $5 97%
Medicare (plans) $5 97%
Mississippi Department Of Rehabilitation Services $5 - $305 97%
Molina Chip $5 97%
Molina Exchange $5 - $9 97%
Ms Work Comp $5 - $305 97%
Node Champva $5 97%
Node Devoted Health Mcr Adv $5 97%
Node First Choice American Health Of Ms Mcr Adv $5 97%
Node First Choice Seven Corners $5 - $9 97%
Node First Choice Wellcare Mcr Adv $5 97%
Node Molina Mcr Adv $5 97%
Node Shared Health Of Ms Mcr Adv $5 97%
Node Va $5 97%
Node Vantage Health Mcr Adv $5 97%
Node Windsor Mcr Adv $5 97%
Veterans Eval Services $5 97%
Node Healthy Mississippi Mcr Adv $6 116%
Node Us Dept Of Labor $6 116%
First Choice Preferred $8 155%
Occunet $8 155%
Magnolia Exchange $9 174%
First Choice Lgp $11 213%
Vantage Health $12 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals