CMS Price Transparency Data

Blood test, calcium

Facility: Montefiore Mount Vernon Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $6
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Montefiore Mount Vernon Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.16x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $45 (872%)
Insurance Median: $6 (116%)
Cash: $45 (872% of Medicare)
Ins. Median: $6 (116% 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
Wellcare $4 - $5 78%
Amidacare $5 - $6 97%
Blue Cross Blue Shield $5 - $55 97%
Centerlight $5 - $6 97%
Emblem $5 - $55 97%
Fidelis $5 - $9 97%
Healthfirst $5 - $8 97%
Medicaid / KanCare $5 97%
Point Comfort $5 97%
UnitedHealthcare $5 - $10 97%
Villagecaremax $5 97%
Vnsny Choice $5 - $6 97%
Humana $6 116%
Longevity $6 116%
Vnsny Select Health $6 116%
Metroplus $7 136%
Oscar $7 136%
American Postal Workers $10 194%
Mvp $10 194%
Aetna $23 - $26 446%
Centivo $43 833%
Cigna $50 - $56 969%
Elderplan $55 1066%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals