CMS Price Transparency Data

Blood test, calcium

Facility: Beloit Health System

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $71
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 13.76x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Beloit Health System is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 13.76x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $32 (620%)
Insurance Median: $71 (1376%)
Cash: $32 (620% of Medicare)
Ins. Median: $71 (1376% 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 1376% of the Medicare baseline (a markup of 1276%). 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 - $126 97%
Blue Cross Blue Shield $5 - $71 97%
Cook Children'S Health Plan (Cchp) $5 - $67 97%
Dean Health $5 - $74 97%
Humana $5 - $20 97%
Independent Care Health Plan $5 97%
Managed Health Services $5 97%
Molina Healthcare $5 97%
Quartz $5 - $87 97%
UnitedHealthcare $5 - $100 97%
Wellcare $5 97%
Naphcare $8 155%
The Alliance $21 407%
Wps $24 - $99 465%
Wea Trust $49 - $73 950%
Multiplan $72 - $106 1395%
Health Eos $80 - $121 1550%
Cigna $82 - $126 1589%
Hfn $82 - $126 1589%
Preferred Network Access $82 - $126 1589%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1969 W Hart Rd, Beloit, WI 53511
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals