CMS Price Transparency Data

Blood test, vitamin D

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $30
Cash Discount Price: $278
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Shriners Hospitals for Children Northern Calif is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.01x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.

Cash / Self-Pay

$278

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: $278 (939%)

Insurance Median: $30 (101%)

Cash: $278 (939% 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.

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
Aetna	$14 - $30	47%
Blue Cross Blue Shield	$17 - $44	57%
Amerigroup Nv	$18	61%
Ambetter / Centene	$20 - $54	68%
Health Plan Of Nv	$20	68%
Medicaid / KanCare	$25	84%
Soonercare	$26	88%
Amerigroup Tx	$28	95%
Central California Alliance For Health	$30	101%
Coventry Cares Ky	$30	101%
Health Plan Of San Joaquin	$30	101%
Humana	$30	101%
Kaiser Permanente	$30 - $100	101%
Molina Healthcare Of Ca	$30	101%
Molina Healthcare Of Ky	$30	101%
Molina Healthcare Of Ms	$30	101%
Partnership Healthplan Of Ca	$30	101%
UnitedHealthcare	$30 - $42	101%
Cigna	$32	108%
Providence Health Plan	$33	111%
Amerihealth Caritas Nc	$34 - $54	115%
Amerihealth Caritas Sc	$34	115%
Caresource Of Oh	$34	115%
Caresource Of Ga	$37	125%
Healthchoice Of Oklahoma	$37	125%
Wellcare Of Ga	$37	125%
Gateway Health Plan	$41	139%
Sana Benefits	$41	139%
Dignity Health	$536	1811%

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 $278.
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 Shriners Hospitals for Children Northern Calif 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.