CMS Price Transparency Data

Blood test, calcium

Facility: Texas Health Presbyterian Hospital Denton

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $75
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 14.53x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Texas Health Presbyterian Hospital Denton is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 14.53x the Medicare baseline. Located in 3000 N I-35, Denton, TX.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $113 (2190%)
Insurance Median: $75 (1453%)
Cash: $113 (2190% of Medicare)
Ins. Median: $75 (1453% 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 1453% of the Medicare baseline (a markup of 1353%). 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
Amerigroup $4 - $5 78%
Blue Cross Blue Shield $4 - $30 78%
Cook Childrens $4 78%
UnitedHealthcare $4 - $6 78%
Aetna $5 - $185 97%
American Health $5 97%
Healthspring $5 97%
Humana $5 97%
Molina $5 97%
Superior Wellcare $5 - $6 97%
Fort Worth Firefighters $10 - $161 194%
Cigna $21 - $248 407%
City Of Fort Worth $53 - $124 1027%
Quick Trip $68 - $166 1318%
Phcs $79 - $196 1531%
Healthsmart $85 - $221 1647%
Multiplan $99 - $229 1919%
Galaxy $100 - $232 1938%
Usa $100 - $232 1938%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 N I-35, Denton, TX 76201
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals