CMS Price Transparency Data

Blood test, vitamin D

Facility: Atrium Health Navicent Peach

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $158
Cash Discount Price: $134
vs. Medicare Baseline: 5.34x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Atrium Health Navicent Peach is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.34x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

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: $134 (453%)

Insurance Median: $158 (534%)

Cash: $134 (453% of Medicare)

Ins. Median: $158 (534% 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 534% of the Medicare baseline (a markup of 434%). 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	$37 - $56	125%
Aetna	$56 - $158	189%
Georgia Health Advantage	$56	189%
Humana	$56 - $227	189%
Pruitt Health	$56	189%
UnitedHealthcare	$56 - $196	189%
Care Source	$57	193%
Clover	$57	193%
Eon Health	$57	193%
Cigna	$62 - $194	209%
Securehealth	$70 - $174	236%
Ambetter / Centene	$80 - $136	270%
Alliant	$131	443%
Multiplan	$174 - $214	588%
Novanet	$214	723%
Three Rivers Provider Network	$227	767%
Beechstreet	$248	838%

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 $134.
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 Atrium Health Navicent Peach 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.