CMS Price Transparency Data

Blood test, calcium

Facility: Southern Coos Hospital & Health Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $47
Cash Discount Price: $56
vs. Medicare Baseline: 9.11x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Southern Coos Hospital & Health Center is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 9.11x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$56

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $56 (1085%)

Insurance Median: $47 (911%)

Cash: $56 (1085% of Medicare)

Ins. Median: $47 (911% 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 911% of the Medicare baseline (a markup of 811%). 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
Healthnet - All Plans	$1 - $6	19%
Tricare	$15 - $71	291%
Advanced Health - All Plans	$16 - $77	310%
Aetna	$17 - $109	329%
Atrio Mcr Adv - Allplans	$17 - $80	329%
Confederated Tribes - All Plans	$17 - $80	329%
Moda Mcr Adv	$17 - $80	329%
Pacific Source Mcr Adv	$17 - $80	329%
Cigna	$21 - $96	407%
Moda Health Plan - All Other Plans	$23 - $108	446%
Prov Netwrk Of America - All Plans	$23 - $109	446%
Three Rivers - All Plans	$23 - $109	446%
UnitedHealthcare	$23 - $109	446%
Blue Cross Blue Shield	$24 - $113	465%
First Choice - All Plans	$24 - $112	465%
Multiplan - All Plans	$24 - $113	465%
First Health - All Plans	$25 - $116	484%
Pacific Source - All Other Plans	$25 - $116	484%
Providence Preferred - All Plans	$25 - $116	484%

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 $56.
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 Southern Coos Hospital & Health Center 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.