CMS Price Transparency Data
Blood test, calcium
Facility: Mount Carmel St Ann's
Billing Code: 82310 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82310
- Insurance Median: $15
- Cash Discount Price: $10,963
- vs. Medicare Baseline: 2.91x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Mount Carmel St Ann's is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,963. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.91x the Medicare baseline. Located in 500 South Cleveland Avenue, Westerville, OH.
Cash / Self-Pay
$10,963
Average discount available for prompt cash payment at this facility.
Insurance Median
$15
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: $10,963 (212461%)
Insurance Median: $15 (291%)
Cash: $10,963 (212461% of Medicare)
Ins. Median: $15 (291% 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 291% of the Medicare baseline (a markup of 191%). 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.
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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 - $8,144 | 97% |
| Blue Benefit Administrators Of Massachusetts | $5 - $19,285 | 97% |
| Blue Care Network | $5 - $19,285 | 97% |
| Blue Cross Blue Shield | $5 - $19,285 | 97% |
| Blue Distinction Transplant | $5 - $19,285 | 97% |
| Blue Shield - Ca | $5 - $19,285 | 97% |
| Blue Shield - Id (Regence) | $5 - $19,285 | 97% |
| Blue Shield - Ny Highmark Northeastern | $5 - $19,285 | 97% |
| Blue Shield - Ny Highmark Western | $5 - $19,285 | 97% |
| Blue Shield - Pa (Highmark) | $5 - $19,285 | 97% |
| Blue Shield - Wa (Regence) | $5 - $19,285 | 97% |
| Hospice Mount Carmel | $5 - $5,170 | 97% |
| Medicare (plans) | $5 - $5,428 | 97% |
| Oscar | $5 - $8,530 | 97% |
| Rural Carrier Health Benefit Plan | $5 - $8,144 | 97% |
| The Health Plan | $5 - $5,273 | 97% |
| UnitedHealthcare | $5 - $10,023 | 97% |
| Medical Mutual | $9 - $18,395 | 174% |
| Enterprise Group Planning | $10 - $9,978 | 194% |
| Custom Design Benefits | $11 - $10,805 | 213% |
| Quality Care Partners | $12 - $11,684 | 233% |
| Geha | $14 - $10,023 | 271% |
| Gravie Admin Services | $14 | 271% |
| Healthez | $14 | 271% |
| Meritain | $14 | 271% |
| Webtpa | $14 | 271% |
| Western & Southern Financial Group | $14 - $18,395 | 271% |
| Access Health | $15 | 291% |
| Acclaim | $15 | 291% |
| Administrative Concepts | $15 | 291% |
| Allegeant | $15 | 291% |
| Allied Benefit Systems | $15 | 291% |
| American Family | $15 | 291% |
| American Healthcare Alliance | $15 | 291% |
| American National | $15 | 291% |
| American Republic | $15 | 291% |
| Amerihealth | $15 | 291% |
| Aultcare | $15 | 291% |
| Automated Benefit Services | $15 | 291% |
| Auxiant | $15 | 291% |
| Benefit Administrative Systems,Llc | $15 | 291% |
| Boon Chapman | $15 | 291% |
| Cam Administrative Services | $15 | 291% |
| Christian Brother Services | $15 | 291% |
| Christian Brothers Holy Cross | $15 | 291% |
| Claimchoice Adminstrators | $15 | 291% |
| Comprehensive Benefits | $15 | 291% |
| Continental Life Insurance | $15 | 291% |
| Coventry | $15 | 291% |
| Custom Benefit Administrators | $15 | 291% |
| Cypress Benefit Administrators | $15 | 291% |
| Employee Benefit Concepts | $15 | 291% |
| Employee Benefit Management | $15 | 291% |
| Forest County Potawatomi | $15 | 291% |
| Freedom Life Insurance Company | $15 | 291% |
| Group Administrators | $15 | 291% |
| Group Marketing Services | $15 | 291% |
| Group Pension Administrators | $15 | 291% |
| Guardian | $15 | 291% |
| Health America | $15 | 291% |
| Health Choices | $15 | 291% |
| Healthcare Management Admin | $15 | 291% |
| Insight | $15 | 291% |
| Intercare | $15 | 291% |
| Jfp Benefit Management | $15 | 291% |
| Jp Farley Corporation | $15 | 291% |
| Key Benefit Administrator | $15 | 291% |
| Liberty Union Life Assurance Co | $15 | 291% |
| Lucent Health | $15 | 291% |
| Luminare Health | $15 | 291% |
| Magnacare | $15 | 291% |
| Medcost | $15 | 291% |
| Mutual Health Services | $15 | 291% |
| Mutual Of Omaha | $15 | 291% |
| Ncas | $15 | 291% |
| Nippon Life Ins | $15 | 291% |
| Nova | $15 | 291% |
| Painters Union Insurance Fund | $15 | 291% |
| Physicians Mutual | $15 | 291% |
| Plumbers Local 98 Insurance Fund | $15 | 291% |
| Prairie States | $15 | 291% |
| Preferred One | $15 | 291% |
| Primary Physician Care | $15 | 291% |
| Professional Benefit Administrators | $15 | 291% |
| Secureone Preferred United Plans | $15 | 291% |
| Siho Insurance Services | $15 | 291% |
| Sisco Benefits | $15 | 291% |
| The Loomis Company | $15 | 291% |
| Trustmark Small Business Benefits | $15 | 291% |
| U Of M Health Plan | $15 | 291% |
| Unicare | $15 | 291% |
| Unified Group Services | $15 | 291% |
| Us Health And Life | $15 | 291% |
| Valenz | $15 | 291% |
| Varipro | $15 | 291% |
| Wps | $15 | 291% |
| Humana | $16 - $32 | 310% |
| First Health | $17 | 329% |
| Paramount Hmo | $17 | 329% |
| Medben | $19 - $24 | 368% |
| Consociate | $20 | 388% |
| Health Ohio Network | $20 | 388% |
| American Postal Workers Secondary | $21 - $9,998 | 407% |
| Cigna | $21 - $9,998 | 407% |
| Health Partners | $21 - $9,998 | 407% |
| Healthgram | $21 - $9,998 | 407% |
| Mvp | $21 - $9,998 | 407% |
| Priority Health | $21 - $9,998 | 407% |
| Caresource | $23 | 446% |
| Healthlink Inc | $24 | 465% |
| Medical Benefits Mutual | $24 | 465% |
| Ohio Health Choice | $24 | 465% |
| Ohio Ppo Connect | $24 | 465% |
| Ameriben | $26 | 504% |
| Luminare Health (Detroit) | $26 | 504% |
| Medi Share | $26 | 504% |
| Multiplan | $26 | 504% |
| Ohiohealthy | $26 | 504% |
| Osu Not Independent Choice | $26 | 504% |
| Phcs | $26 | 504% |
| Philadelphia American Life Insurance | $26 | 504% |
| Twin Valley Psychiatric | $26 | 504% |
| Health Smart | $27 | 523% |
| Bccp | $32 | 620% |
| Medicaid / KanCare | $32 | 620% |
| Optima Health | $32 | 620% |
| Crime Victim Assistance | $632 | 12248% |
| Ohio Safe Program | $632 | 12248% |