CMS Price Transparency Data

Blood test, calcium

Facility: Ira Davenport Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $53
Cash Discount Price: $39
vs. Medicare Baseline: 10.27x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Ira Davenport Memorial Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 10.27x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $39 (756%)

Insurance Median: $53 (1027%)

Cash: $39 (756% of Medicare)

Ins. Median: $53 (1027% 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 1027% of the Medicare baseline (a markup of 927%). 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
Empire	$2	39%
Amerihealth Caritas Mcr Adv - All Plans	$5	97%
Blue Cross Blue Shield	$5 - $286	97%
Fidelis	$5	97%
Humana	$5 - $85	97%
Tricare	$5	97%
UnitedHealthcare	$11 - $99	213%
Fidelis Care - Exchange - All Plans	$32 - $52	620%
Geisinger - All Plans	$34 - $55	659%
Cigna	$37 - $59	717%
Mvp Health Plan - All Plans	$37 - $59	717%
Independent Health - All Plans	$38 - $61	736%
Upmc - All Plans	$41 - $65	795%
Pomco Inc - All Plans	$42 - $68	814%
Aetna	$44 - $84	853%
Emblem Health - All Plans	$52 - $83	1008%
Martins Point - All Plans	$59 - $94	1143%
Emblem/Ghi	$84 - $87	1628%
Healthnow - All Plans	$194 - $311	3760%

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 $39.
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 Ira Davenport Memorial Hospital 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.