CMS Price Transparency Data

Blood test, calcium

Facility: Gettysburg Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $21
Cash Discount Price: $22
vs. Medicare Baseline: 4.07x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Gettysburg Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 4.07x the Medicare baseline. Located in 147 Gettys Street, Gettysburg, PA.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $22 (426%)

Insurance Median: $21 (407%)

Cash: $22 (426% of Medicare)

Ins. Median: $21 (407% 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 407% of the Medicare baseline (a markup of 307%). 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
Aetna	$5 - $24	97%
Johns_Hopkins_Healthcare_Plan	$5 - $25	97%
Medicare (plans)	$5 - $6	97%
Medicaid / KanCare	$6 - $9	116%
Upmc_For_Life_Community_Healthchoices	$6	116%
Highmark	$8 - $30	155%
Blue_Cross	$13 - $23	252%
United_Healthcare	$15	291%
First_Health_Network	$21 - $25	407%
Phc	$22	426%
Upmc	$22 - $25	426%
Cigna	$23 - $24	446%
Wellspan_Capital_Blue_Cross	$25	484%
Geisinger	$26	504%

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 $22.
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 Gettysburg 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.