Blood test, calcium
Facility: Wamego Health Center
Billing Code: 82310 (CPT)
- CPT Billing Code: 82310
- Insurance Median: $5
- Cash Discount Price: $50
- vs. Medicare Baseline: 0.97x 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.
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 |
|---|---|---|
| Providrs Care | $5 | 97% |
| Medicaid / KanCare | $5 | 97% |
| UnitedHealthcare | $5 | 97% |
| Aetna | $5 | 97% |
| Blue Cross Blue Shield | $17 - $118 | 329% |
Consumer Guidance & Cost Commentary
For the blood test, calcium procedure (CPT 82310) at Wamego Health Center in Wamego, KS, the cash median price is $50.00, which is significantly lower than the Medicare benchmark of $5.16. While commercial negotiated rates are typically 200% to 300% of Medicare, this facility's cash rate is actually lower than the federal baseline, suggesting a highly competitive pricing structure for self-pay patients. The facility, a voluntary non-profit Critical Access Hospital, lists a median negotiated rate of $5.00, which is nearly identical to the cash price and well below the Medicare amount. This indicates that patients with high-deductible plans or those without insurance may find this service cost-effective, as the cash price avoids the administrative markups often associated with insurance billing cycles.
Patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can further reduce costs by bypassing claims processing fees. Although the data does not provide a specific median paid amount for insurance plans, the facility's low negotiated rate of $5.00 suggests that in-network members may face minimal out-of-pocket expenses once deductibles are met. It is important to request an itemized bill to ensure no errors or unbundled charges exist, as over 80% of hospital bills contain discrepancies. Given that the facility is located in Wamego (ZIP 66547), the pricing aligns with the local market, and patients are encouraged to confirm their specific plan details with the hospital to avoid unexpected balance billing, which is largely prohibited for in-network services under federal protections.