CMS Price Transparency Data

Blood test, vitamin D

Facility: Mayers Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $235
Cash Discount Price: $275
vs. Medicare Baseline: 7.94x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Mayers Memorial Hospital is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 7.94x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$275

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

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: $275 (929%)

Insurance Median: $235 (794%)

Cash: $275 (929% of Medicare)

Ins. Median: $235 (794% 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 794% of the Medicare baseline (a markup of 694%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medi-Cal	$34	115%
Partnership Hp-All Plans	$34	115%
Blue Shield Ca Va	$172	581%
Blue Shield Mcr Adv	$172	581%
Arcadian Health Services-All Plans	$182	615%
Health Net Mcr Adv	$182	615%
Tricare	$182	615%
Blue Cross Blue Shield	$183 - $235	618%
Health Net Prison	$198	669%
Imperial Health Plan-All Plans	$205	693%
Blue Shield Ca Exchange	$235	794%
Blue Shield-All Other Plans	$261	882%
Cigna	$261	882%
Corvel Ppo-All Plans	$261	882%
Coventry/First Health-All Plans	$261	882%
Hmn-All Plans	$261	882%
Integrated Hp-All Plans	$261	882%
Interplan-All Plans	$261	882%
Multiplan Phcs-All Plans	$261	882%
Pfmc-All Plans	$261	882%
Superior Ca-All Plans	$261	882%
Health Net-All Other Plans	$274	926%
Pacificare-All Plans	$275	929%

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 $275.
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 Mayers Memorial Hospital 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.