CMS Price Transparency Data

Blood test, calcium

Facility: Intermountain Health Garfield Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $49
Cash Discount Price: $39
vs. Medicare Baseline: 9.50x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Intermountain Health Garfield Memorial Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 9.50x the Medicare baseline. Located in 200 North 400 East, Panguitch, UT.

Cash / Self-Pay

$39

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $39 (756%)

Insurance Median: $49 (950%)

Cash: $39 (756% of Medicare)

Ins. Median: $49 (950% 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 950% of the Medicare baseline (a markup of 850%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Health Choice Utah	$5 - $46	97%
Healthy U	$5 - $46	97%
Medicare (plans)	$5 - $20	97%
Molina	$5 - $49	97%
Molina Healthcare Of Utah	$5 - $49	97%
Selecthealth	$5 - $49	97%
Uofu	$5 - $49	97%
Aetna	$6 - $50	116%
Tricare	$22 - $27	426%
Triwest	$22 - $27	426%
UnitedHealthcare	$42 - $44	814%
Blue Cross Blue Shield	$49	950%
Byu Athletic Department	$49	950%
Campbell Scientific	$49	950%
Cigna	$49	950%
Deseret Mutual	$49	950%
Emi Health	$49	950%
Franklin County	$49	950%
Health Utah	$49	950%
Hygeia Corporation	$49	950%
Juniper Systems	$49	950%
Lw Miller	$49	950%
Managed Care Administrators, Inc.	$49	950%
Medcare International	$49	950%
Motivhealth	$49	950%
Pehp	$49	950%
Prodegi Corporate Benefit Services, Llc	$49	950%
Springtide	$49	950%
Tanner Llc	$49	950%
Utah State University	$49	950%
Utah Tech University	$49	950%
Wise	$49	950%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $39.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82310.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Intermountain Health Garfield Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82310.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.