CMS Price Transparency Data

Blood test, vitamin D

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $636
Cash Discount Price: $928
vs. Medicare Baseline: 21.49x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Children's Healthcare of Atlanta at Scottish Rite is $636. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $928. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 21.49x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$928

Average discount available for prompt cash payment at this facility.

Insurance Median

$636

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: $928 (3135%)

Insurance Median: $636 (2149%)

Cash: $928 (3135% of Medicare)

Ins. Median: $636 (2149% 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 2149% of the Medicare baseline (a markup of 2049%). 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
Caresource [61]	$42	142%
Peachstate [43]	$42	142%
Amerigroup [102]	$48	162%
Cigna	$613	2071%
Blue Cross Blue Shield	$616 - $906	2081%
United [5]	$616	2081%
Ambetter / Centene	$621	2098%
Oscar [228]	$622	2101%
Aetna	$625	2111%
Caresource Marketplace Bronze/Silver/Gold [60]	$631	2132%
Kaiser [6]	$632	2135%
Sidecar Health [236]	$640	2162%
Direct Employer Agreements [72]	$650 - $789	2196%
Coventry [9]	$651	2199%
Northeast Georgia Heatlh System [808]	$696	2351%
Veracity Benefits [809]	$696	2351%
First Health [74]	$697	2355%
Phcs [93]	$789	2666%
Secure Health [340]	$789	2666%
Beech Street [71]	$835	2821%
Multiplan [92]	$909	3071%
Novanet [41]	$928	3135%

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 $928.
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 Children's Healthcare of Atlanta at Scottish Rite 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.