CMS Price Transparency Data

Blood test, calcium

Facility: Lancaster General Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $22
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 4.26x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Lancaster General Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 4.26x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $37 (717%)
Insurance Median: $22 (426%)
Cash: $37 (717% of Medicare)
Ins. Median: $22 (426% 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 426% of the Medicare baseline (a markup of 326%). 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 $2 - $31 39%
Tricare $4 78%
Aetna $5 - $23 97%
Albright Life $5 97%
Amerihealth Caritas $5 - $7 97%
Cigna $5 - $31 97%
Coatesville Va $5 97%
Devoted Health $5 97%
Health Partners Mcr Advantage $5 97%
Highmark $5 - $37 97%
Hospice Generic $5 97%
Lebanon Veterans Hospital $5 97%
Medicare (plans) $5 - $6 97%
Pa Health And Wellness Mcr $5 97%
UnitedHealthcare $5 - $31 97%
Elap Employees $7 136%
Hospice And Community Care $7 136%
Lancaster County Mh $7 136%
Medicaid / KanCare $7 - $12 136%
Gateway $8 155%
Lg Coresource/Lg Eliance $10 - $11 194%
Old Order Group $10 - $12 194%
Oscar Health Plan $10 194%
Highmark Commercial Preferred $11 - $37 213%
Lancashire Hall $11 - $37 213%
Nursing Home Op Services $11 213%
Upmc For You $12 233%
Affilia Home Health $14 - $37 271%
Claim Watcher Plus $15 291%
Masonic Homes $15 - $37 291%
Eliance Health Solutions $16 - $24 310%
Claim Watcher $17 329%
Highmark Commercial Non-Preferred $17 - $37 329%
Elap Other Groups $19 368%
Preferred Healthcare $22 - $31 426%
Ehp $30 581%
Upmc Commercial $30 - $31 581%
Devon $31 601%
Geisinger Commercial $31 601%
Intergroup Services $31 601%
Medi-Share Christian Care $34 - $35 659%
Commercial Generic $36 - $37 698%
Magellan $36 - $37 698%
United Behavioral Health $36 - $37 698%
Value Options $36 - $37 698%
Workers Compensation $36 - $37 698%
Gift Of Life Donor Program $13,500 261628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals