CMS Price Transparency Data

Blood test, vitamin D

Facility: Grossmont Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $14
Cash Discount Price: $57
vs. Medicare Baseline: 0.47x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Grossmont Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 0.47x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

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: $57 (193%)

Insurance Median: $14 (47%)

Cash: $57 (193% of Medicare)

Ins. Median: $14 (47% 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.

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
Aetna	$5 - $626	17%
UnitedHealthcare	$5 - $85	17%
Indian Health Council	$6 - $121	20%
Medicare (plans)	$9 - $94	30%
Molina	$9 - $626	30%
Blue Cross Blue Shield	$10 - $100	34%
Blue Shield	$10 - $90	34%
Community Health Group	$10 - $626	34%
Kaiser	$10 - $12	34%
Multiplan	$10	34%
Interplan	$11 - $121	37%
Medi-Cal	$11 - $121	37%
Allianz Global Assistance	$12 - $92	41%
County Medical Services	$12 - $103	41%
Health Net	$12 - $121	41%
Managed Health Network	$12 - $107	41%
Humana	$17	57%
California Health And Wellness	$67	226%
Cigna	$84 - $110	284%
Epic Americas	$92 - $94	311%

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 $57.
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 Grossmont 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.