CMS Price Transparency Data

Blood test, calcium

Facility: Memorial Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $35
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 6.78x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Memorial Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 6.78x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $51 (988%)
Insurance Median: $35 (678%)
Cash: $51 (988% of Medicare)
Ins. Median: $35 (678% 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 678% of the Medicare baseline (a markup of 578%). 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 Mcr Adv-All Other Plans $20 388%
Care Improvement Plus - All Other Plans $20 388%
Coventry First Hlth Mcr Adv $20 388%
Multiplan Mcr Adv $20 388%
Superior Allwell Mcr Adv-All Other Plans $20 388%
Triwest Va Pccc-All Plans $20 388%
UnitedHealthcare $20 - $58 388%
Universal American Mcr-All Other Plans $20 388%
Care Improvement Plus Mcr $21 407%
Universal American Snp $21 407%
Ambetter / Centene $25 484%
Blue Cross Blue Shield $25 - $26 484%
Amerigroup Chip $35 678%
Amerigroup Star $35 678%
Amerigroup Star Kids $35 678%
Amerigroup Star Plus $35 678%
Comm Health Chip $35 678%
Comm Health Perinatal-All Other Plans $35 678%
Molina Chip/Star-All Plans $35 678%
Scott & White Chip/Star-All Plans $35 678%
Superior Chip/Star $35 678%
Texas Childrens Hp - All Plans $35 678%
Comm Health Mcaid Hmo $37 717%
Comm Health Star $37 717%
Prime Healthcare Services-All Plans $51 988%
Cigna $55 1066%
Aetna $58 1124%
Capstar Health Network-All Plans $58 1124%
Coventry First Hlth Hmo Ppo-All Other Plans $58 1124%
Healthcare Highways-All Plans $58 1124%
Humana $58 1124%
Corvel Work Comp-All Plans $62 1202%
Galaxy Health Network-All Plans $62 1202%
Independent Med Sys Ppo-All Plans $62 1202%
Multiplan Phcs Ppo-All Other Plans $62 1202%
Provider Select Ppo-All Plans $62 1202%
Three Rivers Ppo-All Plans $62 1202%
Usa Mso - All Plans $62 1202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals