CMS Price Transparency Data

Blood test, vitamin D

Facility: Grandview Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $130
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 4.39x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Grandview Medical Center is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.39x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

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: $84 (284%)
Insurance Median: $130 (439%)
Cash: $84 (284% of Medicare)
Ins. Median: $130 (439% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 439% of the Medicare baseline (a markup of 339%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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%
Blue Cross Blue Shield $21 71%
Tricare $24 81%
Bc Pml $25 84%
Node Champva $25 84%
UnitedHealthcare $27 - $194 91%
Blue Advantage $29 98%
Humana $29 98%
Medicare (plans) $29 98%
Select Health $29 98%
Victory Health $29 98%
Viva Health $29 - $238 98%
Aetna $30 - $34 101%
Cigna $30 - $56 101%
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%
Veterans Eval Services $30 101%
Node Us Dept Of Labor $37 125%
Ambetter / Centene $44 149%
Healthspring $52 176%
Self Pay $65 - $104 220%
Bp Health Advocate $108 365%
Ag Administrators $151 510%
Alamed $151 510%
Choicecare $151 510%
Drummond $151 510%
American Employee Alliance $173 584%
Healthchoice $216 - $259 730%
Value Options $216 730%
First Health $259 - $338 875%
Multiplan $264 - $302 892%
Blue Bell Creameries $302 1020%
Natl Comp Care $324 1095%
Usa Ppo $324 1095%
Coventry Work Comp Al $338 1142%
Novanet $349 1179%
Alabama Wc $367 1240%
Cal-Med $367 1240%
Corvel $367 1240%
Associated Admin $389 1314%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals