CMS Price Transparency Data

Blood test, calcium

Facility: Alliancehealth Madill

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $12
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 2.33x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Alliancehealth Madill is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.33x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $43 (833%)
Insurance Median: $12 (233%)
Cash: $43 (833% of Medicare)
Ins. Median: $12 (233% 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 233% of the Medicare baseline (a markup of 133%). 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
Blue Cross Blue Shield $1 - $51 19%
Humana $1 - $50 19%
Medicare (plans) $1 - $50 19%
Node Champva $1 - $52 19%
Node Global Health Mcr Adv $1 - $50 19%
Node Indian Health Service Managed Care $1 - $51 19%
Node Va $1 - $117 19%
Tricare $1 - $52 19%
UnitedHealthcare $1 - $51 19%
Self Pay $2 - $85 39%
Coventry $3 - $121 58%
Globalhealth $3 - $150 58%
Healthcare Highways $3 - $151 58%
Aetna $4 - $194 78%
Cigna $4 - $206 78%
Evolutions Healthcare Systems $4 - $206 78%
First Health $4 - $198 78%
Multiplan $4 - $189 78%
Phcs $4 - $169 78%
Medicaid / KanCare $5 97%
Node Us Dept Of Labor $6 116%
Healthchoice $7 136%
Preferred Community Choice Ppo $36 698%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals