CMS Price Transparency Data

Blood test, calcium

Facility: Pawhuska Hospital, Inc

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $14
Cash Discount Price: $10
vs. Medicare Baseline: 2.71x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Pawhuska Hospital, Inc is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.71x the Medicare baseline. Located in 1101 East 15Th Street, Pawhuska, OK.

Cash / Self-Pay

$10

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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 (194%)

Insurance Median: $14 (271%)

Cash: $10 (194% of Medicare)

Ins. Median: $14 (271% 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 271% of the Medicare baseline (a markup of 171%). 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
Blue Cross Blue Shield	$9 - $14	174%
Healthchoice Ip/Op Only - All Plans	$9	174%
Aetna	$10 - $17	194%
Humana	$10 - $17	194%
Tricare	$10	194%
Wellcare Mcr Adv - All Plans	$10	194%
Healthcare Highways - All Plans	$11	213%
Cigna	$12	233%
UnitedHealthcare	$12	233%
Community Care Comm - All Plans	$13	252%
Multiplan - All Plans	$13	252%
Ambetter / Centene	$15	291%
Preferred Commchoice Ip/Op Only - All Plans	$15	291%
Soonerselect Mcaid - All Plans	$17	329%

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 $10.
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 Pawhuska Hospital, Inc 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.