CMS Price Transparency Data

Blood test, calcium

Facility: St Catherine of Siena Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $5
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at St Catherine of Siena Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 0.97x the Medicare baseline. Located in 50 Route 25A, Smithtown, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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%)
Insurance Median: $5 (97%)
Ins. Median: $5 (97% 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
Aetna $5 - $7 97%
Affinity Health Plan $5 - $11 97%
Agewell New York $5 97%
Beacon Health Options $5 - $29 97%
Beacon Health Strategies $5 - $7 97%
Blue Cross Blue Shield $5 - $19 97%
Centerlight Healthcare $5 97%
Centers Plan For Healthy Living $5 97%
Elderplan Inc. $5 97%
Emblem Health $5 - $12 97%
Fidelis Care New York $5 - $11 97%
Health First $5 - $12 97%
Health Plus $5 - $11 97%
Healthspring $5 97%
Humana $5 97%
Independent Health $5 97%
Liberty Health $5 97%
Longevity Health Plan $5 97%
Medicaid / KanCare $5 97%
Medicare (plans) $5 97%
Mvp Health Plans $5 - $13 97%
Orthonet - Uniformed Services Family Health Plan $5 97%
Partners Health Plan $5 97%
Pmc $5 97%
Senior Whole Health $5 97%
Surest $5 97%
Tricare $5 97%
UnitedHealthcare $5 - $19 97%
Universal Healthcare $5 97%
Us Family Health Plan $5 97%
Veterans Affairs $5 97%
Wellcare Health Plan Inc $6 116%
Mail Handlers Benefit Plan $7 136%
Meritain Health $7 136%
Nippon Life Insurance Company Of America $7 136%
Salvation Army $7 136%
Zadroga $7 136%
Centivo $8 - $13 155%
American Plan Administrators $12 233%
Amerihealth Administrators $12 233%
Benefit Services $12 233%
Ghi Cbp Ny City Employee Alternate $12 233%
International Benefit Administrator $12 233%
Ultra Benefits Inc. $12 233%
Apwu $13 252%
Brighton $13 - $94 252%
Cigna $13 - $87 252%
Daniel H Cook $13 252%
Nalc $13 252%
Samba $13 252%
Self Pay $19 368%
Local 1199 $32 620%
Oscar Health $55 1066%
Allied Wellfare Fund $87 1686%
American Group Administrators $87 1686%
Bakery & Confectionery Union $87 1686%
Comprehensive Benefits Consultant $87 1686%
Guardian Life Insurance Company Of America $87 1686%
Maloney And Assoc $87 1686%
Multiplan $87 1686%
Performax $87 1686%
Phcs $87 1686%
Pomco $87 1686%
Tpa Inc $87 1686%
Unicare $87 1686%
United Employees Health Plan $87 1686%
Coventry $99 - $107 1919%
Magellan $107 2074%
Galaxy $121 2345%
Three Rivers Provider Network $121 2345%
Aither Health $134 2597%
Alpha Care $134 2597%
Dentaquest $134 2597%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 50 Route 25A, Smithtown, NY 11787
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals