CMS Price Transparency Data

Blood test, calcium

Facility: Cape Regional Medical Center Inc

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $67
Cash Discount Price: $6
vs. Medicare Baseline: 12.98x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Cape Regional Medical Center Inc is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 12.98x the Medicare baseline. Located in Two Stone Harbor Blvd, Cape May Court House, NJ.

Cash / Self-Pay

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $6 (116%)

Insurance Median: $67 (1298%)

Cash: $6 (116% of Medicare)

Ins. Median: $67 (1298% 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 1298% of the Medicare baseline (a markup of 1198%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$3 - $105	58%
Americhoice	$3 - $5	58%
Amerigroup	$3	58%
Clover Health	$5	97%
Amerihealth	$9	174%
Partners Direct Health	$9	174%
Horizon Nj Health	$13 - $15	252%
Cigna	$15 - $96	291%
Qualcare	$15 - $27	291%
Blue Cross Blue Shield	$64 - $73	1240%
Horizon Casualty Motor Vehicle	$80 - $87	1550%
Horizon Casualty Workers Comp	$80 - $87	1550%
UnitedHealthcare	$89 - $110	1725%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $6.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82310.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cape Regional Medical Center Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82310.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.