CMS Price Transparency Data

Blood test, calcium

Facility: Memorial Medical Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $90
Cash Discount Price: $150
vs. Medicare Baseline: 17.44x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Memorial Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 17.44x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$150

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $150 (2907%)

Insurance Median: $90 (1744%)

Cash: $150 (2907% of Medicare)

Ins. Median: $90 (1744% 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 1744% of the Medicare baseline (a markup of 1644%). 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
Health Alliance	$2 - $98	39%
Veterans Administration	$4	78%
Aetna	$5 - $114	97%
Blue Cross Blue Shield	$5 - $150	97%
Humana	$5 - $90	97%
Medicare (plans)	$5 - $150	97%
Tricare	$5	97%
UnitedHealthcare	$5 - $93	97%
Medicaid / KanCare	$6	116%
Molina	$6	116%
Healthlink	$18 - $94	349%
Commercial Workers Compensation	$35	678%
Illinois Workers Compensation	$37	717%
Current Health Network Ppo	$68	1318%
Cigna	$79	1531%
Phcs/Multiplan	$81 - $90	1570%
6 Degrees Health	$90	1744%
Hopetrust	$90	1744%
Hst	$90	1744%
Magellan	$90	1744%
Consociate	$98	1899%
Hfn	$98	1899%
Preferred Plan	$112	2171%
Soi Mcfarland	$112	2171%
Soi Rushville	$112	2171%
Corvel	$120	2326%
Methodist First Choice	$120	2326%
Mutual Medical Plans	$128	2481%
Liability	$150	2907%

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 $150.
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 Memorial Medical Center 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.