CMS Price Transparency Data

Blood test, calcium

Facility: Bayshore Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $50
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 9.69x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Bayshore Medical Center is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 9.69x the Medicare baseline. Located in 727 N Beers St, Holmdel, NJ.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $5 (97%)
Insurance Median: $50 (969%)
Cash: $5 (97% of Medicare)
Ins. Median: $50 (969% 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 969% of the Medicare baseline (a markup of 869%). 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
Aetna $5 - $60 97%
Seoul Medical Group $5 97%
Amerigroup $5 97%
United Community/Americhoice $5 97%
Vaccn $5 97%
Wellcare $5 97%
Clover $5 97%
UnitedHealthcare $6 - $11 116%
Oxford $11 213%
Cigna $24 - $62 465%
Qualcare $38 - $68 736%
Horizon $47 - $66 911%
Bergen Risk $58 1124%
Brighton Health Plan $62 1202%
Multiplan - PHCS $65 1260%
Amerihealth $66 - $75 1279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 N Beers St, Holmdel, NJ 07733
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals