CMS Price Transparency Data

Blood test, calcium

Facility: Harlan County Health System

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $56
  • Cash Discount Price: $49
  • vs. Medicare Baseline: 10.85x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Harlan County Health System is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $49. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 10.85x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$49

Average discount available for prompt cash payment at this facility.

Insurance Median
$56

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: $49 (950%)
Insurance Median: $56 (1085%)
Cash: $49 (950% of Medicare)
Ins. Median: $56 (1085% 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 1085% of the Medicare baseline (a markup of 985%). 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
Medica Mcr Adv $33 640%
Medica Prime Solution $33 640%
Humana $41 795%
Tricare $41 795%
Aetna $43 833%
Great Plains Mcr Adv-All Plans $43 833%
Medica Chi Aco - All Other Plans $56 1085%
Medica Chi Health $56 1085%
Medica Choice $56 1085%
Blue Cross Blue Shield $58 - $59 1124%
Ohara Llc Wc- All Plans $58 1124%
Medica Ifb Aco $59 1143%
Medica Ifb Open Access $59 1143%
UnitedHealthcare $59 1143%
Phcs/Multiplan-All Plans $60 1163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals