CMS Price Transparency Data

Blood test, calcium

Facility: Astria Sunnyside Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $111
Cash Discount Price: $83
vs. Medicare Baseline: 21.51x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Astria Sunnyside Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 21.51x the Medicare baseline. Located in 1016 Tacoma Avenue, Sunnyside, WA.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $83 (1609%)

Insurance Median: $111 (2151%)

Cash: $83 (1609% of Medicare)

Ins. Median: $111 (2151% 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 2151% of the Medicare baseline (a markup of 2051%). 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
Aetna	$5 - $150	97%
Healthcomp_Ihs	$5	97%
Humana	$5 - $153	97%
Medicare (plans)	$5	97%
Tricare	$5	97%
Va	$5	97%
Medicaid / KanCare	$35 - $52	678%
Molina	$35 - $42	678%
Regence	$73 - $87	1415%
Cigna	$85 - $102	1647%
Li	$87 - $104	1686%
First_Choice	$106 - $128	2054%
Tpsc	$111 - $133	2151%
Kaiser	$112 - $133	2171%
Premera	$116 - $138	2248%
UnitedHealthcare	$121 - $144	2345%
Fhpw	$125 - $150	2422%
Healthcomp	$128 - $153	2481%
Bcchp	$142 - $170	2752%
Great_Rivers	$142 - $170	2752%
Zenith	$142 - $170	2752%

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 $83.
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 Astria Sunnyside 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.