CMS Price Transparency Data

Blood test, calcium

Facility: Matagorda Regional Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $26
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.04x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Matagorda Regional Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 5.04x the Medicare baseline. Located in 104 7Th Street, Bay City, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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%)
Insurance Median: $26 (504%)
Ins. Median: $26 (504% 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 504% of the Medicare baseline (a markup of 404%). 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
Aetna $5 - $29 97%
Humana $5 - $30 97%
Medicare (plans) $5 97%
Triwest $5 97%
United $5 97%
Wellcare $5 97%
Am Better $6 116%
UnitedHealthcare $6 - $32 116%
Alliance $7 136%
Corvel $10 194%
Blue Cross Blue Shield $16 - $46 310%
Comm Care $26 504%
Medicaid / KanCare $26 504%
Molina $26 504%
Scott & White $26 504%
Superior $26 504%
Tcstar $26 504%
Wellpoint $26 504%
Coventry First Health $32 620%
Galaxy Health $32 620%
Cigna $34 659%
Independent Medical System $39 756%
Multiplan Phcs $39 756%
Three Rivers $39 756%
Health Smart $41 795%
Usa Managed $41 795%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 104 7Th Street, Bay City, TX 77414
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals