CMS Price Transparency Data

Blood test, calcium

Facility: St David's South Austin Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $104
  • Cash Discount Price: $585
  • vs. Medicare Baseline: 20.16x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at St David's South Austin Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $585. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 20.16x the Medicare baseline. Located in 901 West Ben White Blvd, Austin, TX.
Cash / Self-Pay
$585

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $585 (11337%)
Insurance Median: $104 (2016%)
Cash: $585 (11337% of Medicare)
Ins. Median: $104 (2016% 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 2016% of the Medicare baseline (a markup of 1916%). 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
St David’S Hospice $4 - $5 78%
United $4 - $275 78%
Aetna $5 97%
American Health Plan Of Texas $5 97%
Blue Cross Blue Shield $5 - $195 97%
Cigna $5 - $177 97%
Devoted Health $5 97%
Harbor Hospice $5 97%
Humana $5 97%
Molina Healthcare $5 - $6 97%
Odyssey Hospice $5 97%
Provider Partners Health Plan $5 97%
Sendero $5 - $9 97%
Shared Health $5 97%
Superior Health Plan $5 - $104 97%
Texas Independent Health Plan $5 97%
Triwest Veterans $5 97%
Wellcare $5 97%
Wellmed $5 97%
Austin Fc $6 116%
Imperial Insurance $6 116%
Pyramid Life $6 116%
Triwest Health Alliance $6 116%
Universal Health $6 116%
Amerigroup $7 136%
Naphcare $8 155%
Seven Corners $8 155%
Corvel Corporation $10 194%
UnitedHealthcare $13 - $612 252%
Oscar $14 - $16 271%
Moda $131 - $144 2539%
Covenant Management Systems $161 - $176 3120%
Healthcare Highways $162 - $184 3140%
Imo Med - Select Network $167 - $184 3236%
Nomi Health $179 - $226 3469%
Moda Health $201 - $226 3895%
Evry Health $205 - $225 3973%
Texas Healthcare Foundation Heb $206 - $226 3992%
Texas Workforce Commission $218 - $239 4225%
Harbor Health Team $223 - $245 4322%
Averde Health $251 - $275 4864%
Comanche County $279 - $306 5407%
Emerging Therapy Solutions $279 - $422 5407%
National Choicecare $279 - $306 5407%
Healthsmart Preferred Care $307 - $490 5950%
Independent Medical Systems $307 - $337 5950%
Physicians Cooperative Of Texas $307 - $337 5950%
Prime Health $335 - $367 6492%
First Health $352 - $440 6822%
Coastal Comp Health Networks $363 - $398 7035%
National Health Care $363 - $398 7035%
Occunet $391 - $428 7578%
Texas Municipal League $391 - $428 7578%
Medcorp Southwest $418 - $459 8101%
Preferred Health Arrangement $418 - $459 8101%
Rockport Healthcare Group $446 - $551 8643%
Bce Emergis Corporation $502 - $551 9729%
Beech Street $502 - $551 9729%
Medical Control Network Solutions $502 - $551 9729%
Multiplan $502 - $551 9729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 West Ben White Blvd, Austin, TX 78704
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals