CMS Price Transparency Data

Blood test, calcium

Facility: Methodist Southlake Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $8
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Methodist Southlake Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.55x the Medicare baseline. Located in 421 E State Highway 114, Southlake, TX.
Cash / Self-Pay
$117

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $117 (2267%)
Insurance Median: $8 (155%)
Cash: $117 (2267% of Medicare)
Ins. Median: $8 (155% 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
Bind Benefits Inc [1004] $3 58%
Definity Health [3006] $3 58%
Freedom Life Insurance Company [2029] $3 58%
Geha Federal [3066] $3 58%
Tml Intergovernmental Employee Benefits [3050] $3 58%
UnitedHealthcare $3 - $6 58%
Aetna $5 - $131 97%
American Health Advantage Of Texas [7099] $5 97%
Blue Cross Blue Shield $5 - $17 97%
Cigna $5 - $10 97%
Globalhealth [1003] $5 97%
Humana $5 97%
Medicare (plans) $5 - $6 97%
Procare Advantage [7018] $5 97%
Southwestern Health Resources Swhr [7015] $5 97%
Ust Health Proof [1005] $5 97%
Wellcare [7016] $5 97%
Alternative Service Concepts [8005] $6 116%
Provider Partners Health Plan [7025] $6 116%
Bright Healthcare [2222] $7 136%
Molina [3017] $7 136%
Oscar Insurance Company [2057] $7 136%
Kempton Group Administrators, Tower Extrusions [3061] $8 155%
Wellpoint Marketplace Exchange [3071] $8 155%
90 Degree Benefit [3057] $9 174%
Allied National [2031] $9 174%
Ambetter / Centene $9 174%
Entrust/90 Degree [2058] $9 174%
Friday Health Plan [2061] $9 174%
Imperial Insurance Companies [3073] $9 174%
Department Of Labor [8004] $10 194%
Evry Health [1013] $10 194%
Generic Workers Comp Tx Non Par [9010] $10 194%
Generic Workers Comp Tx Par [8002] $10 194%
Generic Workers Comp Tx Par [9011] $10 194%
Sana Benefits [3069] $10 194%
Tristar Risk Management [8006] $10 194%
Velocity [3070] $10 194%
Web Tpa [3049] $10 - $22 194%
Health Plans Inc [5017] $13 252%
Medical Cost Containment Professionals [3059] $13 252%
Dart Member Care [3039] $14 271%
Healthscope Benefits [2052] $14 271%
Healthscope Benefits [3063] $14 271%
Medicaid / KanCare $15 - $18 291%
Scott & White Health Plan Trs [3062] $131 2539%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 E State Highway 114, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals