CMS Price Transparency Data

Blood test, vitamin D

Facility: Modoc Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $302
Cash Discount Price: $348
vs. Medicare Baseline: 10.20x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Modoc Medical Center is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 10.20x the Medicare baseline. Located in 1111 N Nagle Street, Alturas, CA.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$302

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: $348 (1176%)

Insurance Median: $302 (1020%)

Cash: $348 (1176% of Medicare)

Ins. Median: $302 (1020% 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 1020% of the Medicare baseline (a markup of 920%). 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
Multiplan Wc	$28	95%
Ntwrks By Design Wc - All Plans	$29	98%
Integrated Hp Wc	$30	101%
Adv Med Mgmt - All Plans	$34	115%
Medi-Cal	$34	115%
Medi-Cal 7/1/24	$34	115%
Partnership Hp - All Plans	$34	115%
Blue Shield Mcr Adv	$188	635%
Blue Shield Va	$188	635%
UnitedHealthcare	$188 - $330	635%
Tricare	$198	669%
Healthnet Mcr Adv	$200	676%
Blue Cross Blue Shield	$286 - $318	966%
Blue Shield Exch	$286	966%
Blue Shield Comm - All Other Plans	$318	1074%
Carelon - All Plans	$318	1074%
Corvel - All Plans	$327	1105%
Aetna	$330	1115%
Coventry/First Health - All Plans	$330	1115%
Galaxy Health - All Plans	$330	1115%
Healthnet Comm - All Other Plans	$330	1115%
Hmn - All Plans	$330	1115%
Integrated Hp - All Other Plans	$330	1115%
Interplan - All Plans	$330	1115%
Multiplan - All Other Plans	$330	1115%
Superior Ca Ppo - All Plans	$330	1115%

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 $348.
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 Modoc Medical Center 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.