CMS Price Transparency Data

Blood test, calcium

Facility: Texas Orthopedic Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $6
  • Cash Discount Price: $645
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Texas Orthopedic Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $645. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.16x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
$645

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $645 (12500%)
Insurance Median: $6 (116%)
Cash: $645 (12500% of Medicare)
Ins. Median: $6 (116% 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%
Community Health Choice Mcd $4 78%
Texas Childrens Health Plans $4 - $107 78%
Texas Health Network $4 78%
United $4 - $290 78%
Aetna $5 - $30 97%
American Health Plan $5 97%
Blue Cross Blue Shield $5 - $226 97%
Cigna $5 - $27 97%
Devoted Health $5 97%
Humana $5 - $69 97%
Integranet Amerigroup Ipa $5 97%
Kelsey Seybold $5 97%
Molina Healthcare $5 - $11 97%
Oscar $5 - $15 97%
Procare Advantage $5 97%
Provider Partners Health Plan Of Texas $5 97%
Shared Health $5 97%
Superior Health Plan $5 - $39 97%
Triwest Healthcare Alliance $5 97%
Van Lang Ipa $5 97%
Wellcare $5 97%
Wellmed $5 97%
Christus (Usfhp) $6 116%
Molina $6 116%
Universal Healthcare Group $6 116%
Community Health Choice $7 136%
Superior $7 - $8 136%
Verda Health Plan $7 136%
Corvel Corporation $10 194%
Omni Healthcare $11 213%
Healthcare Highways $15 291%
Texas Workforce Commission $155 3004%
Evry Health $176 3411%
Imagine Health $226 4380%
Healthsmart Preferred Care $277 - $548 5368%
Averde Health $290 5620%
Fidelis Securecare Of Tx $290 5620%
Coventry National First Health $344 6667%
Physicians Cooperative Of Texas $355 6880%
Rockport Workers Comp $355 6880%
Independent Medical System $387 7500%
National Healthcare Solutions $387 7500%
Southwest Medical $387 7500%
Coastal Comp $419 8120%
Multiplan $484 - $548 9380%
International Health Insurance $516 10000%
Physicians, Inc $548 10620%
Affiliated Ppo $581 11260%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals