CMS Price Transparency Data

Blood test, calcium

Facility: Fairfield Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $11
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 2.13x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Fairfield Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.13x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $11 (213%)
Insurance Median: $11 (213%)
Cash: $11 (213% of Medicare)
Ins. Median: $11 (213% 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 213% of the Medicare baseline (a markup of 113%). 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
Humana $4 - $23 78%
Aetna $5 - $16 97%
Allied Benefit Systems $5 - $17 97%
Blue Cross Blue Shield $5 - $26,250 97%
Buckeye Community Health $5 - $11 97%
Caresource $5 - $11 97%
Medical Mutual $5 - $33,500 97%
Medicare (plans) $5 97%
Medigold $5 97%
Meritain Health $5 - $17 97%
Molina $5 - $11 97%
Oscar $5 97%
The Health Plan $5 - $17 97%
UnitedHealthcare $5 - $16 97%
Va Ccn $5 97%
Valor Health Plan $5 97%
Bwc $7 136%
Amerihealth Caritas Ohio $11 213%
Medicaid / KanCare $11 213%
Quality Care Partners/Ohio Ppo Connect $17 329%
The Ohio State Health Plan $18 349%
Cigna $20 388%
Multiplan $23 446%
Ohio Healthy $23 446%
Miscellaneous Plans $24 465%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 North Ewing Street, Lancaster, OH 43130
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals