CMS Price Transparency Data

Blood test, calcium

Facility: Tristar Northcrest Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $5
  • Cash Discount Price: $219
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Tristar Northcrest Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 0.97x the Medicare baseline. Located in 100 Northcrest Drive, Springfield, TN.
Cash / Self-Pay
$219

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: $219 (4244%)
Insurance Median: $5 (97%)
Cash: $219 (4244% 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
Wellpoint $2 39%
Aetna $4 - $112 78%
Alive Hospice $5 97%
Ambetter / Centene $5 - $6 97%
American Health Advantage $5 97%
Amerigroup $5 97%
Blue Cross Blue Shield $5 - $7 97%
Bright Health $5 - $6 97%
Devoted Health Plan $5 97%
Evergreen Hmo $5 97%
Healthspring $5 97%
Humana $5 - $21 97%
Molina $5 97%
United $5 - $101 97%
Wellcare $5 - $7 97%
Zing $5 97%
Atrio Golden Times $6 116%
Prime Health $7 136%
Novanet $8 155%
Cigna $9 - $66 174%
Oscar $15 291%
Nhc Advantage, Inc. $41 - $43 795%
City Of Springfield $139 - $146 2694%
Multiplan $167 - $184 3236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Northcrest Drive, Springfield, TN 37172
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals