CMS Price Transparency Data

Blood test, calcium

Facility: UW Health

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $27
Cash Discount Price: $20
vs. Medicare Baseline: 5.23x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at UW Health is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 5.23x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$20

Average discount available for prompt cash payment at this facility.

Insurance Median

$27

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: $20 (388%)

Insurance Median: $27 (523%)

Cash: $20 (388% of Medicare)

Ins. Median: $27 (523% 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 523% of the Medicare baseline (a markup of 423%). 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
Aetna	$5 - $57	97%
Blue Cross Blue Shield	$5 - $39	97%
Humana	$5	97%
Medicare (plans)	$5 - $6	97%
Mychoice Wi Medical Adv	$5	97%
UnitedHealthcare	$5 - $8	97%
Quartz Fully Insured	$27	523%
Ecoh	$40 - $62	775%
Hfn	$40 - $62	775%
Alliance Premier Network	$43	833%
Quartz Aso	$43	833%
The Alliance	$55	1066%
Wps Ppo	$61	1182%
Cigna	$63	1221%
Beloit Healt System	$71	1376%
Mercycare	$73	1415%
First Health/Coventry	$77	1492%
Health Payment Systems	$92	1783%
Healthsmart	$92	1783%
Sheboygan Employers Health Network	$98	1899%
Multiplan	$109	2112%

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 $20.
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 UW Health 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.