CMS Price Transparency Data

Blood test, vitamin D

Facility: Adventist Health Howard Memorial

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $164
Cash Discount Price: $113
vs. Medicare Baseline: 5.54x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Adventist Health Howard Memorial is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.54x the Medicare baseline. Located in 1 Marcela Dr, Willits, CA.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $113 (382%)

Insurance Median: $164 (554%)

Cash: $113 (382% of Medicare)

Ins. Median: $164 (554% 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 554% of the Medicare baseline (a markup of 454%). 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
Blue Shield Mcare	$5 - $119	17%
Medicare (plans)	$5 - $120	17%
Tricare	$5 - $119	17%
UnitedHealthcare	$5 - $459	17%
Ah Employee Health Plan - All Plans	$13 - $308	44%
Aetna	$17 - $398	57%
Blue Shield - All Other Plans	$17 - $406	57%
Blue Shield Epn	$17 - $406	57%
Western Growers/Pinnacle - All Plans	$19 - $445	64%
First Health Ppo - All Plans	$20 - $474	68%
Ghn Ppo - All Plans	$20 - $474	68%
Healthnet - All Plans	$20 - $486	68%
Brms - All Plans	$21 - $504	71%
Cigna	$21 - $504	71%
Medi-Cal	$25 - $34	84%
Blue Cross Blue Shield	$294 - $353	993%

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 $113.
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 Howard Memorial 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.