CMS Price Transparency Data
Blood test, vitamin D
Facility: Coastal Communities Hospital
Billing Code: 82306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82306
- Insurance Median: $30
- Cash Discount Price: $45
- vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Coastal Communities Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.01x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$45
Average discount available for prompt cash payment at this facility.
Insurance Median
$30
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: $45 (152%)
Insurance Median: $30 (101%)
Cash: $45 (152% of Medicare)
Ins. Median: $30 (101% 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.
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 |
|---|---|---|
| Ihhi Reciprocity | $6 - $20 | 20% |
| First Health | $11 - $36 | 37% |
| Heritage Provider Network | $13 - $41 | 44% |
| Kaiser | $13 - $42 | 44% |
| Magellan | $13 - $41 | 44% |
| Cigna | $14 - $60 | 47% |
| Health Net | $14 - $51 | 47% |
| Multiplan | $15 - $48 | 51% |
| Networks By Design | $15 - $48 | 51% |
| Networks By Design Wc | $15 - $48 | 51% |
| Healthsmart | $16 - $51 | 54% |
| Interplan | $16 - $51 | 54% |
| Prime Health | $16 - $51 | 54% |
| Pnoa-Provider Network Of America | $17 - $54 | 57% |
| Prime Health Srvs | $17 - $54 | 57% |
| Prime Health Srvs/Network | $18 - $58 | 61% |
| Prime Health Srvs/Wc | $18 - $32 | 61% |
| Altamed Health Services | $20 - $41 | 68% |
| Champus | $20 - $32 | 68% |
| Aetna | $21 - $68 | 71% |
| Altamed Mcal Hmo (Ancillary) | $21 - $30 | 71% |
| Blue Shield | $21 - $113 | 71% |
| Caloptima | $21 - $41 | 71% |
| Central Health Plan Of California | $21 - $30 | 71% |
| Champion Health Plan | $21 - $30 | 71% |
| Choc Health Alliance | $21 - $41 | 71% |
| Choice Physicians Network | $21 - $30 | 71% |
| Citizens Choice Health Plan | $21 - $30 | 71% |
| Clever Care Health Plan | $21 - $30 | 71% |
| County Of Orange | $21 - $41 | 71% |
| Coventry Auto Network | $21 - $32 | 71% |
| Coventry Wc | $21 - $33 | 71% |
| Easy Choice Health Plan | $21 - $30 | 71% |
| Family Choice | $21 - $41 | 71% |
| For Your Benefit | $21 - $30 | 71% |
| Healthcare Partners | $21 - $30 | 71% |
| Healthcare Partners Sr Hmo | $21 - $30 | 71% |
| Heritage | $21 - $30 | 71% |
| Hollywood Presbyterian | $21 - $30 | 71% |
| Humana | $21 - $30 | 71% |
| Imperial Health Plan Of Ca | $21 - $30 | 71% |
| Innovative Integrated Health | $21 - $30 | 71% |
| Kpc Healthcare Inc | $21 - $41 | 71% |
| Lucet Behavioral Health Sr | $21 - $68 | 71% |
| Managed Health Network | $21 - $68 | 71% |
| Medcare Partners | $21 - $30 | 71% |
| Medi-Cal Hmo/Non Contract | $21 - $30 | 71% |
| Medicaid / KanCare | $21 - $30 | 71% |
| Monarch | $21 - $31 | 71% |
| Onecare | $21 - $30 | 71% |
| Onecare Connect | $21 - $30 | 71% |
| Other Insurance Loa | $21 - $68 | 71% |
| Other Non Contracted Plans | $21 - $68 | 71% |
| Other Senior Non Contract | $21 - $30 | 71% |
| Private Pay | $21 - $68 | 71% |
| Prospect Health Plan | $21 - $44 | 71% |
| Scan Health Plan | $21 - $30 | 71% |
| Self Pay Ab774/Cbo Use Only | $21 - $30 | 71% |
| Three Rivers | $21 - $35 | 71% |
| UnitedHealthcare | $21 - $30 | 71% |
| Us Behavioral Health Plan | $21 - $68 | 71% |
| Us Dept Of Labor | $21 - $30 | 71% |
| Us Federal Marshall/Department Of Immigration | $21 - $30 | 71% |
| Velocity National Provider Network Wc | $21 - $36 | 71% |
| Velocity Provider Network Sr | $21 - $30 | 71% |
| Verda Health Plan Sr | $21 - $30 | 71% |
| Veterans Administration | $21 - $30 | 71% |
| Victim Of Violent Crime | $21 - $30 | 71% |
| Victoria Hospice | $21 - $30 | 71% |
| Vitas Hospice | $21 - $68 | 71% |
| Workers Comp State Of California | $21 - $36 | 71% |
| Brand New Day | $24 - $33 | 81% |
| County Of Orange/Custody/Advanced Medmgt | $26 - $37 | 88% |
| Veterans Evaluation Services | $26 - $37 | 88% |
| Staywell/Island Home Ins | $29 - $41 | 98% |
| Monarch Health Plan | $33 | 111% |
| Three Rivers Network | $37 - $52 | 125% |
| Velocity National Provider Network Ppo | $37 - $52 | 125% |