CMS Price Transparency Data

Blood test, calcium

Facility: Fostoria Community Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $48
Cash Discount Price: $60
vs. Medicare Baseline: 9.30x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Fostoria Community Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 9.30x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $60 (1163%)

Insurance Median: $48 (930%)

Cash: $60 (1163% of Medicare)

Ins. Median: $48 (930% 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 930% of the Medicare baseline (a markup of 830%). 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
Meridian Health Plan Of Mi	$3	58%
Blue Cross Blue Shield	$5 - $60	97%
Buckeye Community Health Plan	$5 - $20	97%
Health Alliance Plan	$5 - $69	97%
Health Value Management	$5 - $20	97%
Paramount Health Care	$5 - $49	97%
Aetna	$6 - $62	116%
Buckeye Community Health Plan Inc	$6 - $33	116%
Dayton Area Health Plan Dba Caresource	$7 - $38	136%
UnitedHealthcare	$7 - $55	136%
Amerihealth	$18	349%
Veterans Affairs	$20	388%
Medical Mutual Of Ohio	$52 - $55	1008%
Frontpath Health Coalition	$53	1027%
Ohio Health Choice	$60	1163%
Ohio Ppo Connect	$60 - $69	1163%
Connecticut General Life Insurance Company	$73	1415%
Health Ohio Network	$73	1415%

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 $60.
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 Fostoria Community 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.