CMS Price Transparency Data
Blood test, vitamin D
Facility: Greater El Monte Community Hospital
Billing Code: 82306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82306
- Insurance Median: $29
- Cash Discount Price: $30
- vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Greater El Monte Community Hospital is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 0.98x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$30
Average discount available for prompt cash payment at this facility.
Insurance Median
$29
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: $30 (101%)
Insurance Median: $29 (98%)
Cash: $30 (101% of Medicare)
Ins. Median: $29 (98% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Care 1St Medi Cal Hmo Cap Exceptional Care | $3 | 10% |
| Care First Health Plan | $3 | 10% |
| Clinica Medica Familiar | $4 - $15 | 14% |
| Bella Vista Medical Group Ipa | $6 - $14 | 20% |
| Employee Health Systems Medical Group | $6 | 20% |
| Global Care Medical Group Ipa | $6 - $14 | 20% |
| Alta Med Health Services Med Grp | $8 | 27% |
| Ahmc Reciprocity Agreement | $9 | 30% |
| Ahmc Reciprocity Agreement Senior/Commercial | $9 | 30% |
| Allied Physicians Medical Group | $9 - $21 | 30% |
| Good Samaritan Medical Practice Assoc | $9 - $30 | 30% |
| Lincoln Hospital Medical Center | $9 | 30% |
| Blue Cross Blue Shield | $11 - $30 | 37% |
| Molina Healthcare Of California | $12 - $30 | 41% |
| Blue Shield Of California | $15 - $412 | 51% |
| California Thoroughbred Horesmans Foundation | $15 | 51% |
| Universal Care | $15 - $21 | 51% |
| La Care Health Plan | $17 - $29 | 57% |
| Care 1St Health Plan | $18 | 61% |
| Health Net Foundation | $18 - $68 | 61% |
| Cost Containment Strategies | $20 | 68% |
| In Custody Police Dept | $20 | 68% |
| In Custody-Ca Highway Patrol | $20 | 68% |
| Interplan | $20 - $30 | 68% |
| Ahmc Healthcare Inc | $21 | 71% |
| Aids Health Foundation | $21 - $29 | 71% |
| Altamed Health Network | $21 - $29 | 71% |
| Avanti | $21 - $36 | 71% |
| Beverly Hospital | $21 - $33 | 71% |
| Brand New Day | $21 - $37 | 71% |
| Central Health Plan | $21 - $30 | 71% |
| Emanate Health | $21 - $37 | 71% |
| Health Net Inc | $21 - $74 | 71% |
| Healthy Way La | $21 | 71% |
| Other Non Contracted Medi-Cal Hmo | $21 | 71% |
| State Of California | $21 | 71% |
| Veterans Administration | $21 | 71% |
| UnitedHealthcare | $22 - $29 | 74% |
| Community Care Network | $24 | 81% |
| Multiplan | $26 - $30 | 88% |
| Pacificare Of California | $26 - $30 | 88% |
| Health Payors Organization | $27 | 91% |
| Alignment Health Plan | $29 | 98% |
| Allied Physicians | $29 - $44 | 98% |
| Apa/Aco Inc | $29 | 98% |
| Cms | $29 | 98% |
| Easy Choice Health Plan | $29 | 98% |
| Other Non Contracted Senior Hmo | $29 | 98% |
| Pacific Alliance Medical Center Reciprocal Contract | $29 | 98% |
| Scan Health Plan | $29 | 98% |
| Ahmc Health Self-Insurance Epo | $30 | 101% |
| Associated Hispanic Physicians | $30 | 101% |
| Athens Administrators | $30 | 101% |
| Caloptima | $30 | 101% |
| Champus Foundation | $30 | 101% |
| Commercial Non Contract | $30 | 101% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $30 | 101% |
| Hollywood Presbyterian Adv Med Mcal | $30 | 101% |
| Hollywood Presbyterian Medpoint Mcal | $30 | 101% |
| Inter Valley Health Plan | $30 | 101% |
| Intercomp | $30 | 101% |
| Knox-Keene Act | $30 | 101% |
| La Care Covered Direct | $30 | 101% |
| Medi-Cal Sub Acute | $30 | 101% |
| Molina Healthcare | $30 | 101% |
| Nuclear Medicine/Whmc | $30 | 101% |
| One Legacy | $30 | 101% |
| Other Non Contracted Work Comp | $30 | 101% |
| Preferred Health Network | $30 | 101% |
| San Miguel Health Plan | $30 | 101% |
| Self-Pay | $30 | 101% |
| Cigna | $34 | 115% |
| Chinatown Service Center Pace | $35 | 118% |