CMS Price Transparency Data

Blood test, vitamin D

Facility: North Shore Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $35
  • Cash Discount Price: $246
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at North Shore Medical Center is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $246. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.18x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$246

Average discount available for prompt cash payment at this facility.

Insurance Median
$35

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: $246 (831%)
Insurance Median: $35 (118%)
Cash: $246 (831% of Medicare)
Ins. Median: $35 (118% 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.

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 $7 - $177 24%
Cigna $14 - $123 47%
Humana $15 - $98 51%
Medicaid / KanCare $15 - $246 51%
UnitedHealthcare $15 - $29 51%
Veterans Administration Mill Bill $20 68%
Avmed Broad Network $25 84%
Medicare (plans) $26 - $246 88%
Devoted Health $29 98%
Leon Health Inc $29 98%
Tricare $29 98%
Bc/Bs Myblue Hmo Hix $30 101%
Employer Direct Healthcare $30 - $37 101%
Healthsun Health Plans $30 101%
Hospice Other $30 101%
Veterans Administration Vaccn $30 101%
Longevity Health Plan $31 105%
Bc/Bs Of Fl Network Blue $33 111%
Bc/Bs Of Fl Ppo $33 111%
Bc/Bs Of Fl Simplyblue $33 111%
Bc/Bs Of Fl Blue Select Exchange Non Par $35 118%
Bc/Bs Of Fl Health Options Hmo $35 118%
Florida Pace Centers $35 118%
Bright Health Management Commercial $36 122%
Centurion Prison $36 122%
Imagine Health $36 122%
Oscar Health Plan Hix $36 122%
Self Pay/Uninsured $36 122%
Avmed Exchange $52 176%
Dimension Health Wc $52 176%
Workers Compensation $52 176%
Ambetter / Centene $55 186%
Molina Marketplace Program Exchange $56 189%
Auto Insurance $59 199%
Avmed Select Network $60 203%
Amerihealth Caritas Next Exchange $64 216%
Bc/Bs Of Fl Phs $128 432%
Magellan Behavioral Health $148 500%
Dimensions International $160 541%
First Health $168 568%
Dimension Health Ppo $185 625%
Beacon Health Strategies Commercial $246 831%
Commercial Non-Contracted $246 831%
Self Pay - Mcd Pending 100 Percent $246 831%
Single Case Agreement $246 831%
United Behavioral Health Psych $246 831%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals