CMS Price Transparency Data

Blood test, calcium

Facility: Hospital Metropolitano Dr Susoni

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $7
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Hospital Metropolitano Dr Susoni is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.36x the Medicare baseline. Located in Calle Palma Num 55, Arecibo, PR.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $27 (523%)
Insurance Median: $7 (136%)
Cash: $27 (523% of Medicare)
Ins. Median: $7 (136% 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
Aarp $6 116%
Acaa $6 116%
Humana $6 - $7 116%
Aetna $7 136%
Bl $7 136%
Ch $7 136%
Comerciales $7 136%
First Medical $7 136%
Hospicio $7 136%
Mcs $7 - $8 136%
Medicare (plans) $7 136%
Mso $7 136%
Plan De Salud Menonita $7 136%
Prossam $7 136%
Tricare $7 136%
Triple S $7 136%
Va $7 136%
Mc $8 155%
Mapfre $10 194%
Cigna $23 446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Calle Palma Num 55, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals