CMS Price Transparency Data

Blood test, calcium

Facility: Round Rock Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $12
  • Cash Discount Price: $494
  • vs. Medicare Baseline: 2.33x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Round Rock Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $494. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.33x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
$494

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $494 (9574%)
Insurance Median: $12 (233%)
Cash: $494 (9574% of Medicare)
Ins. Median: $12 (233% 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 233% of the Medicare baseline (a markup of 133%). 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 - $222 78%
Aetna $5 97%
American Health Plan Of Texas $5 97%
Blue Cross Blue Shield $5 - $158 97%
Cigna $5 - $14 97%
Devoted Health $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 - $84 97%
Texas Independent Health Plan $5 97%
Triwest Healthcare Alliance $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%
Corvel Corporation $10 194%
Oscar $14 - $16 271%
Moda $116 2248%
Covenant Management Systems $142 2752%
Healthcare Highways $144 - $148 2791%
Imo Med - Select Network $148 2868%
Nomi Health $158 - $183 3062%
Moda Health $178 - $183 3450%
Evry Health $182 3527%
Texas Healthcare Foundation Heb $183 3547%
Texas Workforce Commission $193 3740%
Harbor Health Team $198 3837%
Averde Health $222 4302%
Comanche County $247 4787%
National Choicecare $247 4787%
Healthsmart Preferred Care $272 - $395 5271%
Independent Medical Systems $272 5271%
Physicians Cooperative Of Texas $272 5271%
Prime Health $296 5736%
First Health $311 - $355 6027%
Coastal Comp Health Networks $321 6221%
National Health Care $321 6221%
Occunet $346 6705%
Texas Municipal League $346 6705%
Medcorp Southwest $370 7171%
Preferred Health Arrangement $370 7171%
Rockport Healthcare Group $395 - $445 7655%
Bce Emergis Corporation $445 8624%
Beech Street $445 8624%
Medical Control Network Solutions $445 8624%
Multiplan $445 8624%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals