CMS Price Transparency Data

Blood test, calcium

Facility: Warner Hospital and Health Services

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $34
Cash Discount Price: $80
vs. Medicare Baseline: 6.59x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Warner Hospital and Health Services is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 6.59x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $80 (1550%)

Insurance Median: $34 (659%)

Cash: $80 (1550% of Medicare)

Ins. Median: $34 (659% 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 659% of the Medicare baseline (a markup of 559%). 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	$15 - $104	291%
Blue Cross Blue Shield	$15 - $120	291%
Health Alliance Med Adv	$15 - $50	291%
Humana	$15 - $104	291%
Molina Mcr/Mcd Dual	$15 - $50	291%
UnitedHealthcare	$15 - $104	291%
Wellcare Mcr Adv-All Plans	$15 - $50	291%
Harmony Hp Mcaid-All Plans	$17	329%
Medicaid / KanCare	$17	329%
Meridian Hp-All Plans	$17	329%
Molina-All Other Plans	$17	329%
Healthlink Hmo	$29 - $96	562%
City Of Clinton (Employees Serv)-All Plans	$30 - $98	581%
Caterpillar-All Plans	$31 - $104	601%
Cigna	$31 - $102	601%
Multiplan Phcs-All Plans	$31 - $104	601%
Consociate Care Ppo-All Plans	$33 - $110	640%
Health Alliance-All Other Plans	$33 - $108	640%
Healthlink Ppo/Work Comp-All Other Plans	$33 - $108	640%
Hfn Ppo/Epo-All Plans	$33 - $110	640%
Three Rivers-All Plans	$35 - $117	678%

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 $80.
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 Warner Hospital and Health Services 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.