CMS Price Transparency Data

Blood test, calcium

Facility: UPMC Presbyterian Shadyside

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $46
Cash Discount Price: $97
vs. Medicare Baseline: 8.91x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at UPMC Presbyterian Shadyside is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 8.91x the Medicare baseline. Located in 200 Lothrop Street, Pittsburgh, PA.

Cash / Self-Pay

$97

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $97 (1880%)

Insurance Median: $46 (891%)

Cash: $97 (1880% of Medicare)

Ins. Median: $46 (891% 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 891% of the Medicare baseline (a markup of 791%). 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
Upmc Work Partners	$5	97%
Aetna	$6 - $9	116%
Amerihealth Caritas	$6 - $11	116%
Cigna	$6	116%
Highmark Wholecare (Prev Gateway)	$6 - $11	116%
Multiplan	$6 - $212	116%
Pa Health & Wellness	$6 - $12	116%
UnitedHealthcare	$6 - $9	116%
Upmc Health Plan	$6 - $8	116%
Health Partners Plans (Jefferson Health Plan)	$7	136%
Blue Cross Blue Shield	$10 - $45	194%
Geisinger	$11	213%
Preferred Healthcare System	$37 - $172	717%
Coventry/First Health	$40 - $186	775%
Fidelis	$43 - $199	833%
Intergroup	$43 - $225	833%
Health Coalition Partners	$46 - $212	891%
Private Health Care Systems	$46 - $212	891%
Selectcare	$46 - $212	891%
Health Payors Organization	$48 - $225	930%
Humana	$48 - $225	930%

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 $97.
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 UPMC Presbyterian Shadyside 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.