CMS Price Transparency Data

Blood test, calcium

Facility: St Francis Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $113
Cash Discount Price: $95
vs. Medicare Baseline: 21.90x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at St Francis Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 21.90x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$95

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $95 (1841%)

Insurance Median: $113 (2190%)

Cash: $95 (1841% of Medicare)

Ins. Median: $113 (2190% 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 2190% of the Medicare baseline (a markup of 2090%). 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
Wexford	$5	97%
Meridian Health Plan	$6	116%
Molina Healthcare	$6 - $132	116%
Blue Cross Blue Shield	$28 - $132	543%
Clear Spring Health of Illinois	$28 - $132	543%
Humana	$28 - $132	543%
Aetna	$29 - $132	562%
UnitedHealthcare	$29 - $132	562%
Amish Community	$37	717%
Celtic Insurance Company	$67 - $290	1298%
Claim Doc	$69 - $330	1337%
Hopetrust	$76 - $330	1473%
Wellfirst	$85	1647%
First Health	$98	1899%
Caterpillar, Inc.	$106	2054%
Cigna	$106	2054%
Current Health Solutions	$111	2151%
Consociate Group	$112	2171%
Multiplan/Phcs	$112	2171%
Healthlink	$113	2190%
Healthcare Finest Network (Hfn)	$119	2306%
Provider Network of America	$119	2306%
Interplan	$132	2558%
Health Alliance Medical Plans	$132	2558%
Healthscope	$132	2558%
Naphcare	$132	2558%
Live360	$132	2558%
Illinois Breast and Cervical Cancer Program	$132	2558%

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 $95.
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 St Francis 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.