CMS Price Transparency Data

Blood test, calcium

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $57
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 11.05x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Cincinnati Children's Hospital Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 11.05x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $32 (620%)
Insurance Median: $57 (1105%)
Cash: $32 (620% of Medicare)
Ins. Median: $57 (1105% 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 1105% of the Medicare baseline (a markup of 1005%). 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
Aetna $5 - $59 97%
Humana $5 - $18 97%
Passport_Ky $5 97%
United_Health_Care_Ky $5 97%
Wellcare_Ky $5 97%
Blue Cross Blue Shield $7 - $61 136%
Caresource_In $7 136%
Mhs_In $7 136%
Caresource_Oh $18 349%
United_Health_Care_Oh $18 349%
Amerihealth_Caritas_Oh $19 368%
Molina_Oh $19 368%
Buckeye_Oh $20 388%
Caresource_Oh_Insurance $30 581%
Cigna $30 - $59 581%
Medical_Mutual_Of_Ohio_Insurance $38 - $59 736%
Point_Comfort_Insurance $40 775%
Margaret_Mary_Health_Insurance $48 930%
Parkview_Signature_Care_Insurance $48 930%
Health_Ohio_Network_Insurance $56 - $59 1085%
United_Health_Care_Insurance $56 1085%
Custom_Design_Benefits_Insurance $59 1143%
Health_Smart_Preferred_Insurance $59 1143%
Medical_Benefit_Administrators_Insurance $59 1143%
Ohio_Health_Choice_Insurance $59 1143%
Private_Health_Care_Systems_Insurance $60 1163%
Beechstreet_Insurance $61 1182%
First_Health_Group_Insurance $61 1182%
Health_Link_Insurance $61 1182%
Evolutions_Health_Care_Systems $62 1202%
Galaxy_Health_Insurance $62 1202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens