CMS Price Transparency Data

Blood test, vitamin D

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $75
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 2.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Atrium Health Navicent Rehabilitation Hopsital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.53x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $63 (213%)
Insurance Median: $75 (253%)
Cash: $63 (213% of Medicare)
Ins. Median: $75 (253% 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 253% of the Medicare baseline (a markup of 153%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $17 - $196 57%
Aetna $30 - $132 101%
Alliant $30 - $36 101%
Blue Cross Blue Shield $30 - $37 101%
Care Source $30 101%
Clover $30 101%
Eon Health $30 101%
Georgia Health Advantage $30 101%
Humana $30 - $87 101%
Pruitt Health $30 101%
Ambetter / Centene $38 - $64 128%
Cigna $40 - $80 135%
Kaiser $43 - $106 145%
Securehealth $44 - $70 149%
Multiplan $82 - $101 277%
Ibg $86 - $89 291%
Novanet $101 341%
Three Rivers Provider Network $107 361%
Beechstreet $117 395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3351 Northside Dr, Macon, GA 31210
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL