CMS Price Transparency Data

Blood test, calcium

Facility: Lafollette Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $5
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Lafollette Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 0.97x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$41

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: $41 (795%)
Insurance Median: $5 (97%)
Cash: $41 (795% 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
Amerigroup $2 39%
Medicaid / KanCare $3 - $5 58%
UnitedHealthcare $3 - $137 58%
Aetna $5 - $85 97%
Blue Cross Blue Shield $5 - $24 97%
Humana $5 97%
Medicare (plans) $5 97%
Node Amerigroup Mcr Adv $5 97%
Node Blueadvantage Mcr Adv $5 97%
Node Bluecare Plus Tn Mcr Adv $5 97%
Node Champva $5 97%
Node Devoted Health Mcr Adv $5 97%
Node Farm Bureau Mcr Adv $5 97%
Node Healthspring Mcr Adv $5 97%
Node Hospice Non Par Agree $5 97%
Node Va $5 97%
Node Wellcare Mcr Adv $5 97%
Tricare $5 97%
Triwest $5 97%
Veterans Eval Services $5 97%
Wellcare $5 97%
Windsor Health Plan $5 97%
Node Nhc Mcr Adv $6 116%
Node Us Dept Of Labor $6 116%
Cigna $8 155%
Novanet Work Comp Tn $8 155%
Tn Work Comp $8 155%
Ambetter / Centene $10 194%
Bluecare $10 - $12 194%
Node Point Comfort Underwriters $11 213%
Self Pay $39 756%
Multiplan Complementary $104 2016%
Beech Street Work Comp Tn $766 14845%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals