Blood test, calcium
Facility: Salina Regional Health Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $64
- Cash Discount Price: $50
- vs. Medicare Baseline: 12.40x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1240% of the Medicare baseline (a markup of 1140%). 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.
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 | $7 | 136% |
| Preferred Phsic | $43 | 833% |
| Preferred Healthcare - All Other Plans | $58 | 1124% |
| Cigna | $64 | 1240% |
| Aetna | $64 | 1240% |
| Providers Care (Wppa)-All Plans | $64 | 1240% |
| Multiplan (Mpi)-All Plans | $64 | 1240% |
Consumer Guidance & Cost Commentary
For this blood calcium test at Salina Regional Health Center, the facility's cash price of $50.00 is lower than the state average of $58.00 and significantly below the median negotiated rate of $64.00 paid by insurance plans. While most commercial payers, including Blue Cross Blue Shield and Cigna, have negotiated rates of $64.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds $50.00. It is important to note that while the facility offers a cash rate, patients should verify if their specific insurance plan has a lower allowed amount before assuming the cash price is the best option, as some policies may cover the service for less than the listed cash price.
The facility's pricing structure aligns with federal benchmarks, showing a 12.4% difference from the Medicare rate of $5.16, which serves as a reliable baseline for evaluating commercial markups. Although the facility is a voluntary non-profit in Salina, KS, and holds a 3-star rating, patients should be aware that commercial negotiated rates often include administrative costs that can inflate the final price. To ensure you receive the most accurate billing, always request an itemized bill that lists specific CPT codes rather than accepting a summary invoice, and inquire about prompt-pay discounts if you choose to settle the account directly with the hospital.