CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercyone Newton Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $237
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 8.01x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercyone Newton Medical Center is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 8.01x the Medicare baseline. Located in 204 N 4Th Ave E, Newton, IA.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$237

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: $175 (591%)
Insurance Median: $237 (801%)
Cash: $175 (591% of Medicare)
Ins. Median: $237 (801% 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 801% of the Medicare baseline (a markup of 701%). 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
Aetna $29 - $252 98%
Blue Cross Blue Shield $29 98%
Iowa Total Care $29 98%
Medicaid / KanCare $29 98%
Medicare (plans) $29 - $30 98%
UnitedHealthcare $30 - $153 101%
Amish Hospital Aid $39 132%
Oscar $42 142%
Centivo $43 145%
Ambetter / Centene $50 169%
Claimdoc $60 203%
Nova $60 203%
Geha $153 517%
Newton Correctional Facility $175 591%
Health Choices $203 686%
Medical Associates $203 686%
Health Partners $237 801%
Auxiant $247 834%
Cigna $247 834%
Health Alliance $247 834%
Medica $247 834%
Midlands $247 834%
Midlands Choice $247 834%
1199 National Benefit Fund $252 851%
Allied Benefit Systems $252 851%
Asr Health Benefits $252 851%
Christian Brother Services $252 851%
Coventry $252 851%
First Health $252 851%
Lucent Health $252 851%
Luminare Health $252 851%
Medical Mutual $252 851%
Meritain $252 851%
Trustmark Small Business Benefits $252 851%
Webtpa $252 851%
Crime Victim Assistance $269 909%
Iowa Dept Of Public Health $269 909%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals