CMS Price Transparency Data

Blood test, calcium

Facility: Clarion Hospital

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $10
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at Clarion Hospital is $10. 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 1.94x the Medicare baseline. Located in One Hospital Drive, Clarion, PA.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $10 (194%)
Cash: $29 (562% of Medicare)
Ins. Median: $10 (194% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Upmc $4 - $26 78%
Aetna $5 - $46 97%
Amerihealth $5 - $8 97%
Cigna $5 - $26 97%
Devoted Health Plan $5 - $21 97%
Geisinger $5 - $6 97%
Highmark $5 - $18 97%
Highmark Community Blue $5 97%
Martin'S Point - Usfhp $5 - $18 97%
Medicare (plans) $5 97%
The Health Plan $5 - $12 97%
Tricare $5 97%
UnitedHealthcare $5 97%
American Health Plan $6 116%
Gateway $6 - $19 116%
Jefferson Health Plan $6 116%
Pa Health & Wellness $6 116%
Medicaid / KanCare $7 136%
Highmark - Ind.& Managed Care $12 - $18 233%
Peak Health $12 - $36 233%
Devon $39 756%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals