CMS Price Transparency Data

Blood test, vitamin D

Facility: City of Hope National Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $21
Cash Discount Price: $61
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at City of Hope National Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 0.71x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $61 (206%)

Insurance Median: $21 (71%)

Cash: $61 (206% of Medicare)

Ins. Median: $21 (71% 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
Blue Cross Blue Shield	$5 - $225	17%
Heritage Provider Network	$5 - $79	17%
Blue Shield	$6 - $145	20%
Blue Shield Covca	$6 - $68	20%
UnitedHealthcare	$6 - $89	20%
Blue Shield Promise	$7 - $79	24%
Cencal	$8 - $90	27%
Inland Empire	$8 - $90	27%
La Care Health	$8 - $90	27%
Kaiser	$9 - $101	30%
Aetna	$10 - $113	34%
Gold Coast	$10 - $113	34%
Health Net	$10 - $109	34%
Molina	$10 - $146	34%
Prime Healthcare Keenan	$10 - $108	34%
Cigna	$11 - $121	37%
Healthcare Partners	$12 - $131	41%
St. Joseph Heritage	$12 - $135	41%
Primecare Medical Network	$13 - $146	44%
First Health	$15 - $173	51%
Phcs Multiplan	$18 - $203	61%
Cal Optima	$20 - $30	68%
Facey	$20 - $38	68%

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 $61.
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 City of Hope National Medical Center 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.