CMS Price Transparency Data

Blood test, vitamin D

Facility: Sonoma Valley Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $117
  • Cash Discount Price: $253
  • vs. Medicare Baseline: 3.95x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Sonoma Valley Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.95x the Medicare baseline. Located in 347 Andrieux St, Sonoma, CA.
Cash / Self-Pay
$253

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $253 (855%)
Insurance Median: $117 (395%)
Cash: $253 (855% of Medicare)
Ins. Median: $117 (395% 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 395% of the Medicare baseline (a markup of 295%). 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
Tricare $29 98%
Blue Cross Blue Shield $30 - $362 101%
Bright Hlth/Brand New Day Mcr Adv $30 101%
Hospice Of Marin-All Plans $30 101%
St Joseph Heritage Hltcare Comm-All Other Plans $30 101%
Veterans Admin-All Plans $30 101%
Marin General Comm/Mcr Adv (Western Hlth)-All Plan $31 105%
Medi-Cal $34 115%
Partnership Healthplan-All Plans $34 115%
Cdcr Prison-All Plans $36 122%
Three Rivers (Trpn)-All Plans $36 122%
Chp - Correctional Health Partners - All Plans $38 128%
Bright Hlth/Brand New Day - All Other Plands $40 135%
Wellpath - All Plans $41 139%
Aetna $49 166%
First Health(Coventry)-All Plans $49 166%
Canopy Bay Area Accountable Care Ntwrk (Baacn) - A $53 179%
Canopy Health Solutions-All Other Plans $53 179%
Mcal Mgd Care (Php)-All Plans $56 189%
UnitedHealthcare $60 203%
Meritage Medical Network Op Only Mcare $107 361%
Meritage Medical Network Op Only-All Other Plans $107 361%
Healthnet Hmo/Ppo-All Other Plans $127 429%
Blue Shield Ppo-All Plans $206 696%
Kaiser-All Plans $235 794%
Integrated Health Plan-All Plans $268 905%
Champus-All Plans $290 980%
Cigna $290 980%
Networks By Design - All Plans $290 980%
Comm Care Network(Ccn)-All Plans $308 1041%
Great West-One Health Plan Ppo/Pos-All Plans $308 1041%
Phcs/Multiplan/Beech St-All Plans $308 1041%
Interplan-All Plans $319 1078%
Bps-All Plans $326 1101%
Ppo Alliance-All Plans $326 1101%
Pref Health Networl(Phn)-All Plans $326 1101%
Scan Mcare-All Plans $362 1223%
St Joseph Heritage Hltcare Mcr Adv $362 1223%
Correct Care Integ Health-All Plans $434 1466%
Employer Direct Healthcare-All Plans $434 1466%
Creative Legal Services-All Plans $471 1591%
Canopy Op Only $652 2203%
Vnpn - All Plans $652 2203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 347 Andrieux St, Sonoma, CA 95476
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals