CMS Price Transparency Data

Blood test, vitamin D

Facility: Adventist Health Simi Valley

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $252
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 8.51x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Adventist Health Simi Valley is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 8.51x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$252

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: $79 (267%)
Insurance Median: $252 (851%)
Cash: $79 (267% of Medicare)
Ins. Median: $252 (851% 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 851% of the Medicare baseline (a markup of 751%). 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
Ehn - All Plans $7 - $182 24%
Hpn Senior Hmo $10 - $252 34%
UnitedHealthcare $10 - $251 34%
Vchcp - All Plans $10 - $242 34%
Blue Shield - All Other Plans $11 - $278 37%
Hpn - All Other Plans $12 - $304 41%
Kaiser - All Plans $12 - $302 41%
Western Growers - All Plans $13 - $315 44%
Aetna $14 - $333 47%
Scan Mcr Adv - All Plans $15 - $363 51%
First Health - All Plans $16 - $393 54%
Phcs Ppo - All Plans $16 - $393 54%
Beech Street Ppo - All Plans $19 - $454 64%
Choicecare Ppo - All Plans $19 - $454 64%
Health Net - All Plans $19 - $456 64%
Corvel Corp - All Plans $20 - $484 68%
Interplan Ppo - All Plans $20 - $484 68%
Ahf - All Plans $21 - $514 71%
Hmn Ppo/Epo - All Plans $21 - $514 71%
Multiplan Ppo - All Plans $21 - $502 71%
Trpn Ppo - All Plans $21 - $514 71%
Fpn Ppo - All Plans $22 - $544 74%
Gold Coast Mcal - All Plans $25 - $42 84%
Blue Shield Mcare $30 101%
Facey Medical Mdcare $30 101%
Medicare (plans) $30 101%
Tricare $30 101%
Facey Medical Hmo/Pos - All Other Plans $36 122%
Ah Employee Health Plan - All Plans $53 179%
Centivo - All Plans $67 226%
Cigna $96 324%
Bc Exchange $240 811%
Bc Non Mcs $266 899%
Bc Mcs - All Other Plans $319 1078%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals