CMS Price Transparency Data

Blood test, calcium

Facility: Roxborough Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $5
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Roxborough Memorial Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 0.97x the Medicare baseline. Located in 5800 Ridge Ave, Philadelphia, PA.
Cash / Self-Pay
$5

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $5 (97%)
Insurance Median: $5 (97%)
Cash: $5 (97% of Medicare)
Ins. Median: $5 (97% 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
Humana $4 78%
Medicaid / KanCare $4 78%
Blue Cross Blue Shield $5 97%
Cigna $5 97%
Health Partners Plan $5 - $8 97%
Keystone $5 - $8 97%
Medicare (plans) $5 97%
Pa Health & Wellness $5 - $6 97%
Providers Partner Health Plan $5 97%
Spartan $5 97%
Tricare $5 97%
UnitedHealthcare $5 - $8 97%
Auto Insurance $6 116%
Worker Compensation $6 116%
Employer Direct Healthcare $7 136%
Naphcare $8 155%
Highmark $11 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5800 Ridge Ave, Philadelphia, PA 19128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals