CMS Price Transparency Data

Blood test, calcium

Facility: North Austin Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $131
  • Cash Discount Price: $488
  • vs. Medicare Baseline: 25.39x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at North Austin Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $488. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 25.39x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$488

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

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: $488 (9457%)
Insurance Median: $131 (2539%)
Cash: $488 (9457% of Medicare)
Ins. Median: $131 (2539% 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 2539% of the Medicare baseline (a markup of 2439%). 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 - $254 78%
Aetna $5 97%
American Health Plan Of Texas $5 97%
Blue Cross Blue Shield $5 - $166 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 - $96 97%
Texas Independent Health Plan $5 97%
Triwest Healthcare Alliance $5 97%
UnitedHealthcare $5 - $254 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%
Oscar $14 - $16 271%
Moda $102 - $133 1977%
Covenant Management Systems $125 - $162 2422%
Healthcare Highways $126 - $169 2442%
Imo Med - Select Network $130 - $169 2519%
Nomi Health $139 - $209 2694%
Moda Health $156 - $209 3023%
Evry Health $160 - $208 3101%
Texas Healthcare Foundation Heb $161 - $209 3120%
Texas Workforce Commission $169 - $220 3275%
Harbor Health Team $174 - $226 3372%
Averde Health $195 - $254 3779%
Comanche County $217 - $282 4205%
National Choicecare $217 - $282 4205%
Healthsmart Preferred Care $239 - $451 4632%
Independent Medical Systems $239 - $310 4632%
Physicians Cooperative Of Texas $239 - $310 4632%
Prime Health $260 - $338 5039%
First Health $271 - $400 5252%
Coastal Comp Health Networks $282 - $367 5465%
National Health Care $282 - $367 5465%
Texas Municipal League $304 - $395 5891%
Medcorp Southwest $326 - $423 6318%
Rockport Healthcare Group $347 - $508 6725%
Bce Emergis Corporation $391 - $508 7578%
Beech Street $391 - $508 7578%
Medical Control Network Solutions $391 - $508 7578%
Multiplan $391 - $508 7578%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals