CMS Price Transparency Data

Blood test, vitamin D

Facility: Nemours Childrens Hospital, Florida

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $41
Cash Discount Price: $55
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Nemours Childrens Hospital, Florida is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.39x the Medicare baseline. Located in 6535 Nemours Pkwy, Orlando, FL.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $55 (186%)

Insurance Median: $41 (139%)

Cash: $55 (186% of Medicare)

Ins. Median: $41 (139% 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
Avmed	$16 - $64	54%
Cigna	$21 - $83	71%
Employers Health Network Fl	$21 - $82	71%
Florida Blue	$21 - $328	71%
Truli	$21 - $155	71%
Aetna	$23 - $90	78%
Evolutions Healthcare	$23 - $92	78%
UnitedHealthcare	$27	91%
Tricare	$28	95%
Integra Administrative Group	$31 - $123	105%
Global Medical Management	$34 - $133	115%
Prime Health Services	$34 - $133	115%
Star Healthcare Network	$34 - $133	115%
Velocity	$39 - $154	132%
First Health Network	$41 - $160	139%
Pnoa	$42 - $164	142%
Seminole Tribe Of Fl	$42 - $164	142%
Private Healthcare Systems	$48 - $189	162%

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 $55.
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 Nemours Childrens Hospital, Florida 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.