CMS Price Transparency Data

Blood test, vitamin D

Facility: Poudre Valley Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $146
Cash Discount Price: $160
vs. Medicare Baseline: 4.93x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Poudre Valley Hospital is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.93x the Medicare baseline. Located in 1024 S Lemay Ave, Fort Collins, CO.

Cash / Self-Pay

$160

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $160 (541%)

Insurance Median: $146 (493%)

Cash: $160 (541% of Medicare)

Ins. Median: $146 (493% 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 493% of the Medicare baseline (a markup of 393%). 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 Cross Blue Shield	$15 - $167	51%
Aetna	$30 - $222	101%
Cigna	$30 - $205	101%
Cms	$30	101%
Devoted Health	$30	101%
Humana	$30	101%
Kaiser	$30	101%
Select Health	$30 - $114	101%
UnitedHealthcare	$30 - $222	101%
Simplified Benefits Administration	$52 - $212	176%
First Health	$112 - $158	378%
Denver Health Medical Plan	$147 - $209	497%
Midlands Choice	$170 - $241	574%
Rocky Mountain Health Plans	$170 - $241	574%
Multiplan	$172 - $244	581%
Phcs	$172 - $244	581%
First Choice Of The Midwest	$183 - $260	618%

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 $160.
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 Poudre Valley 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.