CMS Price Transparency Data

Blood test, calcium

Facility: Rio Grande Regional Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $7
  • Cash Discount Price: $795
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Rio Grande Regional Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $795. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.36x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$795

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $795 (15407%)
Insurance Median: $7 (136%)
Cash: $795 (15407% of Medicare)
Ins. Median: $7 (136% 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
Driscoll Children'S Health Plan $4 78%
Texas Health Network $4 78%
United $4 - $358 78%
Aetna $5 97%
Allegian Health $5 - $318 97%
American Health Plan $5 97%
Blue Cross Blue Shield $5 - $358 97%
Cigna $5 - $19 97%
Humana $5 - $18 97%
Independent Medical System $5 97%
Molina Healthcare $5 - $13 97%
Physicians Health Choice $5 97%
Prominence Health $5 97%
Provider Partners Health Plan Of Texas $5 97%
Shared Health $5 97%
Superior Health Plan $5 - $56 97%
Triwest Healthcare Alliance $5 97%
Wellmed $5 97%
Molina $6 116%
Triwest Health Alliance $6 116%
Universal Health Care $6 116%
Superior $8 155%
Corvel Corporation $10 194%
Focus Healthcare $10 194%
Omni Healthcare $11 213%
Oscar $12 233%
Healthcare Highways $15 291%
Texas Workforce Commission $191 3702%
Averde Health $262 5078%
Healthsmart Preferred Care $342 - $676 6628%
First Health $457 8857%
National Healthcare Solutions $477 9244%
Southwest Medical $477 9244%
Coastal Comp $517 10019%
Usa Managed Care $517 - $636 10019%
Ppo Next/ Medical Control $596 11550%
Beech Street $636 12326%
Multiplan $636 12326%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals