CMS Price Transparency Data

Blood test, calcium

Facility: Lee County Community Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $9
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Lee County Community Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 1.74x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $9 (174%)
Insurance Median: $9 (174%)
Cash: $9 (174% of Medicare)
Ins. Median: $9 (174% 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
Blue Cross Blue Shield $2 - $39 39%
UnitedHealthcare $5 - $9 97%
Aetna $8 - $39 155%
Molina Healthcare $8 - $9 155%
Optima Health $8 155%
Ambetter / Centene $9 174%
Amerigroup $9 - $39 174%
Cigna $9 - $39 174%
Devoted Health Plan $9 174%
Humana $9 174%
Managed Medicaire $9 174%
Medicare (plans) $9 174%
Mountain Empire Pace $9 174%
Nhc Advantage $9 174%
Sentara Health $9 - $10 174%
United Mine Workers Of America $9 174%
Seven Corners, Inc. $21 407%
First Health Coventry $39 756%
Medcost $39 756%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals