CMS Price Transparency Data

Blood test, calcium

Facility: Deaconess Illinois Crossroads

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $84
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 16.28x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Deaconess Illinois Crossroads is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 16.28x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $35 (678%)
Insurance Median: $84 (1628%)
Cash: $35 (678% of Medicare)
Ins. Median: $84 (1628% 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 1628% of the Medicare baseline (a markup of 1528%). 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
UnitedHealthcare $3 - $164 58%
Blue Cross Blue Shield $4 - $135 78%
Aetna $5 - $224 97%
Alliance Coal $5 97%
Care Improvement Plus $5 97%
Deaconess Onecare $5 - $150 97%
Encore Combined $5 - $173 97%
Encore Prime/Elite/Elite + $5 - $156 97%
Humana $5 - $221 97%
Meridian Health Plan $5 97%
Molina Healthcare Of Illinois $5 97%
Mytru Advantage $5 97%
Umwa $5 97%
Wellcare $5 97%
Alter-Net Medical Services, Inc. $8 - $99 155%
Noncontracted $8 155%
Self-Pay $9 - $62 174%
Cigna $10 - $110 194%
Hope Trust $15 - $99 291%
Prime Health Services $20 - $212 388%
Guardian Resources, Inc. $23 - $238 446%
Healthcare'S Finest Network (Hfn) $23 - $241 446%
Medicalcontrol Network Solutions $23 - $241 446%
National Provider Network $23 - $241 446%
Three Rivers Provider Network $23 - $246 446%
Beech Street $24 - $249 465%
Wexford Health Sources $71 - $198 1376%
Great West Healthcare Of Illinois $119 - $212 2306%
Multiplan - Primary Network - Phcs $124 - $222 2403%
Healthlink $126 - $241 2442%
Coventry Healthcare $133 - $238 2578%
First Health $133 - $238 2578%
Multiplan - Complementary Network $135 - $242 2616%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals