CMS Price Transparency Data

Blood test, vitamin D

Facility: Adventist Health Tulare

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $37
Cash Discount Price: $54
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Adventist Health Tulare is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.25x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $54 (182%)

Insurance Median: $37 (125%)

Cash: $54 (182% of Medicare)

Ins. Median: $37 (125% 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 Shield Epn	$4 - $191	14%
Blue Shield-All Other Plans	$5 - $264	17%
Cigna	$5 - $280	17%
Western Growers - All Plans	$5 - $278	17%
Blue Cross Blue Shield	$6 - $302	20%
Network By Design-All Plans	$7 - $393	24%
Hs Interplan-All Plans	$8 - $405	27%
UnitedHealthcare	$8 - $438	27%
Multiplan - All Plans	$10 - $514	34%
Ccipa Medi-Cal - All Plans	$11 - $44	37%
Dignity Mcal Op Only	$11 - $37	37%
Healthnet Medi-Cal	$11 - $44	37%
Independence Op Only - All Plans	$11 - $37	37%
Medi-Cal	$11 - $34	37%
Blue Shield Mcare	$30	101%
Dignity Mcr Op Only - All Other Plans	$30	101%
Fhcn Pace Mcr Adv - All Plans	$30	101%
Medicare (plans)	$30	101%
Prime Health - All Plans	$30	101%
Tricare	$30	101%
Cal Forensic Med Grp - All Plans	$38	128%
Prison Hlthcre - All Plans	$38	128%
Bright Health - All Plans	$43	145%
Ah Employee Health Plan - All Plans	$53	179%
Incentive Hlth - All Plans	$53	179%
Healthnet Hmo/Ppo - All Other Plans	$79	267%
Aetna	$256	865%

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 $54.
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 Adventist Health Tulare 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.