CMS Price Transparency Data

Blood test, calcium

Facility: Shirley Ryan Abilitylab

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $103
Cash Discount Price: $79
vs. Medicare Baseline: 19.96x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Shirley Ryan Abilitylab is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 19.96x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $79 (1531%)

Insurance Median: $103 (1996%)

Cash: $79 (1531% of Medicare)

Ins. Median: $103 (1996% 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 1996% of the Medicare baseline (a markup of 1896%). 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
Uic Physician Group-Campuscare	$66	1279%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co	$70 - $112	1357%
State Of Illinois	$70	1357%
Affordable Health Care Concepts	$79	1531%
University Of Chicago Practice Plan	$86	1667%
Health Care Services Corporation Dba Managed Care Network Preferred	$90	1744%
Gallagher Benefit Administrators	$99	1919%
Unicare Life And Health Insurance	$103	1996%
Private Healthcare Systems	$106	2054%
Resurrection Health Care Preferred	$106	2054%
Uic Physician Group	$107	2074%
Cofinity Aka Ppom	$112	2171%
Health Payors Organization	$112	2171%
Healthnetwork	$116	2248%
Hfn	$119	2306%

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 $79.
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 Shirley Ryan Abilitylab 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.