CMS Price Transparency Data

Blood test, vitamin D

Facility: East Morgan County Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $80
Cash Discount Price: $77
vs. Medicare Baseline: 2.70x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at East Morgan County Hospital is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.70x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$80

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: $77 (260%)

Insurance Median: $80 (270%)

Cash: $77 (260% of Medicare)

Ins. Median: $80 (270% 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 270% of the Medicare baseline (a markup of 170%). 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
Aetna	$38 - $150	128%
Banner Health	$38 - $69	128%
Blue Cross Blue Shield	$38 - $228	128%
Clear Spring Health	$38 - $69	128%
Healthspring Life & Health Insurance Company, Inc.	$38 - $69	128%
Medica	$38 - $134	128%
Medicare (plans)	$38 - $69	128%
Pinnacol Assurance Workers Comp	$38 - $68	128%
Triwest Healthcare Alliance Corp - Va Ccn	$38 - $69	128%
UnitedHealthcare	$38 - $150	128%
Longevity	$39 - $71	132%
Humana	$41 - $73	139%
Devoted Health Services	$42 - $76	142%
Assist Health Group	$46 - $83	155%
Denver Health Medical Plan	$71 - $129	240%
Apostrophe, Inc.	$80 - $145	270%
First Choice Health Network	$80 - $145	270%
Hue Health, Inc	$85 - $153	287%
Rocky Mountain Health Plans	$85 - $153	287%
Multiplan	$86 - $156	291%

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 $77.
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 East Morgan County 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.