CMS Price Transparency Data

Blood test, vitamin D

Facility: John Muir Medical Center - Walnut Creek Campus

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $123
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 4.16x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at John Muir Medical Center - Walnut Creek Campus is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.16x the Medicare baseline. Located in 1601 Ygnacio Valley Rd, Walnut Creek, CA.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$123

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: $109 (368%)
Insurance Median: $123 (416%)
Cash: $109 (368% of Medicare)
Ins. Median: $123 (416% 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 416% of the Medicare baseline (a markup of 316%). 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
Contra Costa County Jail [1012104] $21 71%
Health Net-Network Mcare [1028127] $29 98%
Aetna $30 - $176 101%
Alignment Health [1177113] $30 101%
Blue Cross Blue Shield $30 - $399 101%
Blue Shield-Network Mcare [1006127] $30 101%
Care 1St Health Plan [1094113] $30 101%
Caremore [1171113] $30 101%
Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] $30 101%
Easy Choice Health Plan [1083113] $30 101%
Essence Healthcare [1049028] $30 101%
Essence Healthcare [1049128] $30 101%
Golden State-Network Mcare [1023127] $30 101%
Hospice Of East Bay [1085104] $30 101%
Humana $30 - $202 101%
Medicare (plans) $30 - $194 101%
Scan-Network Mcare [1043127] $30 101%
UnitedHealthcare $30 - $142 101%
Veterans Administration [1051113] $30 101%
Jmpn Canopy Hn [1640000011] $34 115%
Generic Commercial/Indemnity [1017001] $37 - $97 125%
Generic Hmo [1018103] $37 125%
Generic Ppo [1021104] $37 125%
Canopy Hn Hmo [1166103] $54 182%
Carecentrix [1011001] $97 328%
Aps Healthcare [1003103] $109 368%
United Behavioral Health [1048103] $122 412%
Cigna $123 - $174 416%
Carelon Behavioral Health [1050104] $134 453%
Fortified Provider Network [1063104] $134 453%
Medigap [1036001] $134 453%
Three Rivers Provider Network [1073104] $134 453%
Health Net Hmo [1028103] $139 470%
Health Net-Network [1028026] $139 470%
Contra Costa Health Plan Hmo [1013103] $146 493%
Blue Shield Hmo [1006103] $151 - $154 510%
Blue Shield-Network [1006026] $151 - $154 510%
Blue Shield Ppo [1006104] $162 - $179 547%
Western Health Advantage Hmo [1053103] $170 - $194 574%
Health Net Ppo [1028104] $176 595%
Federal Correction Institute [1062104] $194 655%
First Health [1016104] $194 - $206 655%
Healthsmart - Pka Interplan [1031104] $194 655%
National Provider Network/Plancare America [1069104] $194 655%
Networks By Design [1084104] $194 655%
Pponext [1072104] $194 655%
Sutter Preferred Health Plan [1044104] $194 655%
Kaiser Hmo [1033103] $197 666%
Health Management Network [1066104] $206 696%
Healthcomp [1089104] $206 - $399 696%
Galaxy Health Network [1064104] $219 740%
Integrated Health Plan [1075104] $219 740%
Brms [1091104] $399 1348%
Delta Health Systems [1032104] $399 1348%
Empire Plan [1092104] $399 1348%
Donor Network West [1008103] $4,000 - $12,000 13514%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals