CMS Price Transparency Data

Blood test, calcium

Facility: Medical City Plano

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $8
  • Cash Discount Price: $634
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Medical City Plano is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $634. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.55x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$634

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $634 (12287%)
Insurance Median: $8 (155%)
Cash: $634 (12287% of Medicare)
Ins. Median: $8 (155% 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 $4 - $5 78%
United $4 - $110 78%
Aetna $5 - $383 97%
American Health Plan Of Texas, Inc. $5 97%
Blue Cross Blue Shield $5 - $281 97%
Care N Care $5 97%
Cigna $5 - $89 97%
Devoted Health $5 97%
Humana $5 - $57 97%
Integranet $5 97%
Molina $5 - $6 97%
Mutual Of Omaha $5 97%
Parkland Community Health Plan $5 97%
Procare Advantge $5 97%
Provider Partners Health Plan $5 97%
Superior Health Plan $5 - $44 97%
Texas Independent Health Plan $5 97%
Triwest Veterans $5 97%
Wellcare $5 97%
Wellmed $5 97%
Imperial Insurance Company $6 116%
Triwest Health Alliance $6 116%
Universal Healthcare Group $6 116%
Verda Health Plan $7 136%
Bravo Health $8 155%
Superior $9 - $12 174%
Corvel Corporation $10 194%
Usa Managed Care $10 - $507 194%
Oscar $13 252%
Molina Healthcare $14 271%
Healthcare Highways $155 - $214 3004%
Evry Health $163 3159%
Lifecare Hospitals $190 3682%
Prominence Health Plan $253 4903%
City Of Mckinney $285 5523%
Fidelis Securecare $285 5523%
National Choicecare $317 6143%
Pc Texas Partners $348 6744%
Physicians Coop Of Tx $348 6744%
Rockport Health Group $348 6744%
Averde Health, Inc $367 7112%
Texas Healthcare Foundation Wc $412 7984%
Coastal Comp Health Networks $444 8605%
Mega Life $444 8605%
Multiplan Phcs $444 8605%
Healthsmart Preferred Care $475 9205%
Lewisville Isd/Dls Consulting $475 9205%
Usc Health Services $507 9826%
Galaxy Health Network $539 10446%
Independent Medical Systems $634 12287%
National Healthcare Solutions $634 12287%
Unicare $634 12287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals