CMS Price Transparency Data

Blood test, vitamin D

Facility: Baldwin Health

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $43
  • Cash Discount Price: $438
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Baldwin Health is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.45x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$438

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.6 (100%)
Cash / Self-Pay: $438 (1480%)
Insurance Median: $43 (145%)
Cash: $438 (1480% of Medicare)
Ins. Median: $43 (145% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.6 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
Medicaid / KanCare $12 41%
First Choice $16 54%
Blue Cross Blue Shield $17 - $29 57%
Tricare $24 81%
Bc Pml $25 84%
Node Champva $25 84%
UnitedHealthcare $27 - $30 91%
Humana $29 98%
Medicare (plans) $29 98%
Triwest $29 98%
Windsor Health Plan $29 98%
Aetna $30 - $1,643 101%
Cigna $30 - $123 101%
Community Hospice $30 101%
Hospice $30 101%
Mercy Medical Hospice $30 101%
Node Clover Health Mcr Adv $30 101%
Node Devoted Health Mcr Adv $30 101%
Node Va $30 101%
Node Wellcare Mcr Adv $30 101%
Select Health $30 101%
Veterans Eval Services $30 101%
Us Dol $37 125%
Ambetter / Centene $44 149%
Self Pay $329 - $548 1111%
American Employee Alliance $730 2466%
Multiplan $1,041 - $1,497 3517%
First Health $1,369 - $1,474 4625%
Alamed $1,397 4720%
Multiplan Inc $1,397 4720%
Coventry Work Comp Al $1,428 4824%
One Health $1,461 4936%
Pro America $1,461 4936%
Novanet $1,474 4980%
Alabama Wc $1,552 5243%
Gulf Health $1,552 5243%
Principal Ppo $1,552 5243%
Viva Health $1,552 5243%
National Health $1,643 5551%
Galaxy $1,661 5611%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals