CMS Price Transparency Data

Blood test, calcium

Facility: Prisma Health Tuomey Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $7
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Prisma Health Tuomey Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.36x the Medicare baseline. Located in 129 N Washington St, Sumter, SC.
Cash / Self-Pay
$42

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: $42 (814%)
Insurance Median: $7 (136%)
Cash: $42 (814% 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
Aetna $5 - $51 97%
Blue Cross Blue Shield $5 - $18 97%
Bluechoice [810] $5 - $16 97%
Cigna $5 - $29 97%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $5 97%
Golden Rule Insurance Company [2991] $5 97%
Healthy Conn Prime-First Choice Vip Care [5300] $5 97%
Healthy Conn Prime-Molina Healthcare [5330] $5 97%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $5 97%
Humana $5 - $49 97%
Medicare (plans) $5 97%
Oxford Health Plans [2992] $5 97%
Planned Administrators [820] $5 97%
Tricare $5 97%
Triwest Healthcare Alliance Vcp [902] $5 97%
UnitedHealthcare $5 - $6 97%
Va Community Care Network-Vaccn [903] $5 97%
Zzumr-Salt Lake City Ut [3169] $5 97%
Medicaid / KanCare $6 - $7 116%
Workers Comp [600] $7 136%
Ambetter / Centene $9 174%
Prisma Health Seniorcare Pace - Midlands [5400] $15 291%
Prisma Health Seniorcare Pace-Upstate [5200] $15 291%
Scdc-Sc Dept Of Corrections [7232] $18 349%
Promise Health Plan Contracted [2401] $23 - $39 446%
Orangeburg Senior Helping Center Pace [5401] $26 504%
Bob Jones Univ-Pai [821] $39 756%
Meritain Health Contracted [2200] $42 - $51 814%
Preferred Administrators Contracted [2839] $46 891%
Medcost [2940] $48 - $54 930%
Atlantic Packaging Contracted [4833] $49 950%
Aps Healthcare System [2981] $52 1008%
Multiplan/Phcs Contracted [2950] $58 1124%
Vsp Vision Care [2986] $58 1124%
First Health Contracted [2952] $60 1163%
Furman Int/Allen University Student [2951] $60 1163%
Quiktrip-First Health [3067] $60 1163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals