CMS Price Transparency Data

Blood test, calcium

Facility: Memorial Health Care Systems

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $40
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 7.75x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Memorial Health Care Systems is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 7.75x the Medicare baseline. Located in 300 North Columbia Ave, Seward, NE.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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: $68 (1318%)
Insurance Median: $40 (775%)
Cash: $68 (1318% of Medicare)
Ins. Median: $40 (775% 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 775% of the Medicare baseline (a markup of 675%). 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
Molina Mcaid-All Plans $36 - $37 698%
Ne Total Care Mcaid-All Plans $36 - $37 698%
UnitedHealthcare $36 - $65 698%
Beshp Mcr Adv - All Plans $38 - $39 736%
Blue Cross Blue Shield $38 - $66 736%
Medica Mcare Cost $38 - $39 736%
Medica Mcr Adv $38 - $39 736%
Tricare $38 - $39 736%
Wellcare Mcr Adv - All Plans $38 - $40 736%
Ambetter / Centene $63 - $66 1221%
Medica Comm-All Other Plans $63 - $66 1221%
Medica Elevate $63 - $66 1221%
Phcs Ppo-All Plans $63 - $66 1221%
Midlands Choice-All Plans $64 - $67 1240%
Aetna $65 - $68 1260%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 North Columbia Ave, Seward, NE 68434
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals