CMS Price Transparency Data

Blood test, calcium

Facility: Indiana Regional Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $8
  • Cash Discount Price: $44
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Indiana Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $44. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.55x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$44

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $44 (853%)
Insurance Median: $8 (155%)
Cash: $44 (853% of Medicare)
Ins. Median: $8 (155% 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.

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
Highmark $3 - $16 58%
Highmark Wholecare $4 - $5 78%
Aetna $5 - $16 97%
Ambetter / Centene $5 - $10 97%
Amerihealth Caritas $5 - $9 97%
Cigna $5 - $16 97%
Geisinger Health Plan $5 - $9 97%
Humana $5 97%
Medicare (plans) $5 97%
Tricare $5 - $174 97%
United Mine Workers Of America $5 97%
UnitedHealthcare $5 - $70 97%
Upmc Health Plan $5 - $80 97%
Geisinger $7 - $14 136%
Pa Health And Wellness Commercial $7 - $14 136%
Department Of Human Services And Torrance State Hospital $45 - $110 872%
Premier Comp Solutions, Llc $65 - $157 1260%
Miscellaneous Commercial $72 - $174 1395%
Pa Workers Compensation $72 - $174 1395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals