CMS Price Transparency Data

Blood test, calcium

Facility: Adventist Health Tillamook

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $37
Cash Discount Price: $29
vs. Medicare Baseline: 7.17x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Adventist Health Tillamook is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 7.17x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$29

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $29 (562%)

Insurance Median: $37 (717%)

Cash: $29 (562% of Medicare)

Ins. Median: $37 (717% 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 717% of the Medicare baseline (a markup of 617%). 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
Blue Cross Blue Shield	$11 - $92	213%
Hvhs Mcare - All Plans	$11 - $50	213%
Medicare (plans)	$11 - $50	213%
Moda Health Plan - All Plans	$11 - $50	213%
Sterling Life - All Plans	$11 - $52	213%
Aetna	$12 - $99	233%
Devoted Health	$12 - $54	233%
Lifewise - All Plans	$21 - $96	407%
Ah Employee Health Plan - All Plans	$22 - $100	426%
Cigna	$22 - $101	426%
First Choice Health- All Plans	$22 - $100	426%
Health Net - All Plans	$22 - $100	426%
Ods Health Plan - All Other Plans	$22 - $103	426%
Pacificsource - All Plans	$22 - $102	426%
Phcs Preferred - All Plans	$22 - $101	426%
UnitedHealthcare	$22 - $101	426%
Providence Preferred - All Plans	$23 - $104	446%
Workers Comp	$23 - $106	446%

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 $29.
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 Adventist Health Tillamook 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.