CMS Price Transparency Data

Blood test, calcium

Facility: Adventist Health Howard Memorial

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $66
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 12.79x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Adventist Health Howard Memorial is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 12.79x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $41 (795%)
Insurance Median: $66 (1279%)
Cash: $41 (795% of Medicare)
Ins. Median: $66 (1279% 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 1279% of the Medicare baseline (a markup of 1179%). 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
Ah Employee Health Plan - All Plans $2 - $86 39%
Aetna $3 - $111 58%
Blue Shield - All Other Plans $3 - $113 58%
Blue Shield Epn $3 - $113 58%
Brms - All Plans $3 - $140 58%
Cigna $3 - $140 58%
First Health Ppo - All Plans $3 - $132 58%
Ghn Ppo - All Plans $3 - $132 58%
Healthnet - All Plans $3 - $135 58%
UnitedHealthcare $3 - $128 58%
Western Growers/Pinnacle - All Plans $3 - $124 58%
Medi-Cal $4 - $6 78%
Blue Shield Mcare $27 - $33 523%
Tricare $27 - $33 523%
Medicare (plans) $28 - $33 543%
Blue Cross Blue Shield $51 - $61 988%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Marcela Dr, Willits, CA 95490
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals