CMS Price Transparency Data

Blood test, vitamin D

Facility: USA Health Children's & Women's Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $105
Cash Discount Price: $462
vs. Medicare Baseline: 3.55x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at USA Health Children's & Women's Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $462. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.55x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$462

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $462 (1561%)

Insurance Median: $105 (355%)

Cash: $462 (1561% of Medicare)

Ins. Median: $105 (355% 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 355% of the Medicare baseline (a markup of 255%). 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
UnitedHealthcare	$17 - $386	57%
Magnolia Health	$27	91%
Truecare	$27	91%
Blue Cross Blue Shield	$29	98%
Molina Chip	$29	98%
Aetna	$30	101%
Devoted Health	$30 - $500	101%
Humana	$30 - $464	101%
Viva Health	$30 - $357	101%
Wellcare	$30	101%
Molina Marketplace	$33	111%
Ambetter / Centene	$36	122%
Mississippi Physicians Care Network (Mpcn)	$40	135%
Cigna	$99 - $464	334%
Central Healthcare Services	$104 - $357	351%
Multiplan	$136 - $500	459%
Novanet	$188 - $643	635%

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 $462.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82306.

Insurance In-Network Protection Plan

Contact your insurance company to confirm USA Health Children's & Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82306.
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.