CMS Price Transparency Data

Blood test, calcium

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $39
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 7.56x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at University of Wi Hospitals & Clinics Authority is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 7.56x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $40 (775%)
Insurance Median: $39 (756%)
Cash: $40 (775% of Medicare)
Ins. Median: $39 (756% 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 756% of the Medicare baseline (a markup of 656%). 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
Aetna $5 - $54 97%
Blue Cross Blue Shield $5 - $64 97%
Humana $5 97%
Medicare (plans) $5 97%
UnitedHealthcare $5 - $42 97%
Alliance_Premier_Network $32 620%
Mercycare $33 640%
Triology $34 - $41 659%
Security_Health_Plan $36 - $43 698%
Employer'S_Coalition_On_Health $37 - $52 717%
Alliance $38 736%
Hfn $38 - $52 736%
Aspirus_Health_Plan $39 756%
Beloit_Health_System $39 756%
United_Healthcare $39 - $57 756%
Cigna $40 775%
Health_Partners_Insurance $41 795%
Health_Payment_Systems $41 795%
Dean_Health_Plan $43 833%
Medical_Associates $44 853%
Employers_Healthcare_Coalition_Of_Wi $47 911%
Wps $47 - $51 911%
Aspirus_Network_Inc $52 1008%
Chorus_Community $54 1047%
Ghc_Eau_Claire_Health_Plan $54 1047%
Multiplan $54 - $62 1047%
Sheybogan_Employers_Health_Network $54 1047%
Coventry $57 1105%
Dean_Care $57 1105%
Healthsmart $59 1143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals