CMS Price Transparency Data

Blood test, calcium

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $66
Cash Discount Price: $85
vs. Medicare Baseline: 12.79x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Thomas H Boyd Memorial Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 12.79x the Medicare baseline. Located in 800 School St, Carrollton, IL.

Cash / Self-Pay

$85

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: $85 (1647%)

Insurance Median: $66 (1279%)

Cash: $85 (1647% 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.

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 - $58	97%
Blue Cross Blue Shield	$23 - $85	446%
Meridian Hp Mcaid-All Plans	$23	446%
Molina Mcaid-All Plans	$23	446%
Health Alliance Mcr Adv	$51 - $58	988%
UnitedHealthcare	$51 - $88	988%
Wellcare Mcr Adv-All Plans	$51 - $58	988%
Humana	$52 - $58	1008%
Health Alliance-All Other Plans	$61 - $69	1182%
Ambetter / Centene	$66 - $75	1279%
Cigna	$71 - $81	1376%
Multiplan-All Plans	$75 - $85	1453%
Healthlink Hmo	$76 - $86	1473%
Healthlink Il Only	$76 - $86	1473%
Healthlink Ppo-All Other Plans	$86 - $97	1667%
Hfn Zelis-All Plans	$91 - $103	1764%

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 $85.
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 Thomas H Boyd 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.