CMS Price Transparency Data

Blood test, calcium

Facility: Hospital of Univ of Pennsylvania

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $31
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 6.01x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Hospital of Univ of Pennsylvania is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 6.01x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$170

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

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: $170 (3295%)
Insurance Median: $31 (601%)
Cash: $170 (3295% of Medicare)
Ins. Median: $31 (601% 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 601% of the Medicare baseline (a markup of 501%). 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%
Ibc Commercial Hpn $2 39%
Keystone Hmo Proactive $2 39%
Cigna $3 - $76 58%
Gspp And Wissahickon Hospice $3 58%
Aetna $5 - $170 97%
Devoted Health $5 97%
Geisinger Health Plan $5 - $16 97%
Health Partners $5 - $170 97%
Humana $5 - $136 97%
Ibc $5 97%
Kaiser Permanente $5 - $170 97%
Medicare (plans) $5 97%
Pa Health And Wellness $5 - $9 97%
Penn Life (Living Independently For Elders) $5 97%
Philadelphia Va Medical Center $5 97%
UnitedHealthcare $5 - $170 97%
Upmc $5 - $170 97%
Clover Health Plan $6 116%
Gateway Health Plan $6 116%
Keystone First $6 116%
Tricare $6 116%
Us Family Health Plan $6 116%
Elap $7 136%
Medicaid / KanCare $7 - $170 136%
Pa Medical Assistance $7 - $170 136%
Claims Watcher $8 - $9 155%
Centivo $9 174%
Keystone Mercy Health Plan $9 - $170 174%
Oscar Health Plan $9 174%
Elap Services $10 194%
Highmark $11 213%
Paired Kidney Exchange $14 271%
Penn Global Medicine $14 271%
Horizon Nj Health $29 - $30 562%
Preferred Health Care Eliance $37 717%
Pgm - Regie De L'Assurance Maladie Quebec $39 756%
Pgm - Kuwait Defense $60 - $76 1163%
Qualcare $65 1260%
Olympus $67 1298%
Coventry $68 - $87 1318%
Pgm - Chop $68 1318%
Wissahickon Hospice $68 1318%
Healthamerica/Coventry $76 - $83 1473%
First Health Global $85 1647%
Health Net $102 1977%
Pgm - Royal Embassy Of Saudi Arabia $102 1977%
Pgm - Embassy Of Qatar $110 2132%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $110 2132%
Interlink $114 2209%
Pgm - Embassy Of The United Emirates/Ipc $119 2306%
Health America/Ccn $136 2636%
Intergroup $136 2636%
Pgm - Kuwait Health Division $136 2636%
Pgm - Kuwait Oil $136 2636%
Preferred Care $136 2636%
Blue Quality Centers For Transplant (Bqct) $170 3295%
City Of Philadelphia Behavioral Health $170 3295%
Commercial Other $170 3295%
International Pfs $170 3295%
United Behavioral Health $170 3295%
Workers Compensation $170 3295%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals