CMS Price Transparency Data

Blood test, calcium

Facility: Sanford Clear Lake Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $41
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 7.95x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Sanford Clear Lake Medical Center is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 7.95x the Medicare baseline. Located in 701 Third Avenue South, Clear Lake, SD.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $40 (775%)
Insurance Median: $41 (795%)
Cash: $40 (775% of Medicare)
Ins. Median: $41 (795% 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 795% of the Medicare baseline (a markup of 695%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Sanford Health Plan Align $26 504%
Aetna $28 - $43 543%
Health Partners $28 - $38 543%
Medicare (plans) $28 543%
Primewest $28 543%
Security Health Plan $28 543%
Ucare $28 - $44 543%
UnitedHealthcare $28 - $42 543%
Wellmark Sd $28 543%
Sanford Health Plan $35 - $46 678%
Blue Cross Blue Shield $41 - $46 795%
Medica $41 - $44 795%
Wellmark $43 - $44 833%
Cigna $45 872%
First Choice Health Network $45 872%
Healthez $45 872%
Multiplan $45 872%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 Third Avenue South, Clear Lake, SD 57226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals