CMS Price Transparency Data

Blood test, calcium

Facility: Margaretville Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $110
Cash Discount Price: $249
vs. Medicare Baseline: 21.32x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Margaretville Memorial Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 21.32x the Medicare baseline. Located in 42084 State Highway 28, Margaretville, NY.

Cash / Self-Pay

$249

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $249 (4826%)

Insurance Median: $110 (2132%)

Cash: $249 (4826% of Medicare)

Ins. Median: $110 (2132% 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 2132% of the Medicare baseline (a markup of 2032%). 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
UnitedHealthcare	$8 - $110	155%
Oxford	$8	155%
Aetna	$14 - $249	271%
Mvp	$22	426%
Mvp Hmo/Ppo	$26	504%
Blue Cross Blue Shield	$30 - $110	581%
Self-Pay	$44	853%
Mvp Gold (McR)	$110	2132%
Hamaspik (McR)	$110	2132%
Medicare (plans)	$110 - $164	2132%
Affinity By Molina McR	$115	2229%
Cdphp	$121	2345%
Emblem Ghi/Hip Ppo/Cbp	$154	2984%
Mvp Exchange	$162	3140%
Emblem Select Care (Exchange)	$169	3275%
Oxford Exchange	$174	3372%
Magnacare Standard	$174	3372%
Todays Options	$181	3508%
Emblem Ghi/Hip Hmo/Epo/Pos	$199	3857%
Multiplan	$204	3953%
First Health	$224	4341%
Magnacare Preferred	$984	19070%

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 $249.
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 Margaretville Memorial 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.