CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercyone Des Moines Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $68
  • Cash Discount Price: $4,769
  • vs. Medicare Baseline: 2.30x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercyone Des Moines Medical Center is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,769. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.30x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$4,769

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $4,769 (16111%)
Insurance Median: $68 (230%)
Cash: $4,769 (16111% of Medicare)
Ins. Median: $68 (230% 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 230% of the Medicare baseline (a markup of 130%). 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
Iowa Dept Of Public Health $9 - $282 30%
Aetna $28 - $98 95%
Blue Cross Blue Shield $28 - $1,819 95%
Medicare (plans) $28 - $30 95%
Iowa Total Care $29 - $68 98%
Medicaid / KanCare $29 - $69 98%
UnitedHealthcare $29 - $282 98%
Geha $30 101%
Amish Hospital Aid $38 - $39 128%
Centivo $41 - $43 139%
Oscar $41 - $42 139%
Ambetter / Centene $48 - $50 162%
Health Choices $57 193%
Medical Associates $57 193%
Claimdoc $58 - $60 196%
Nova $58 - $60 196%
1199 National Benefit Fund $98 331%
Allied Benefit Systems $98 331%
Asr Health Benefits $98 331%
Christian Brother Services $98 331%
Coventry $98 331%
First Health $98 331%
Lucent Health $98 331%
Luminare Health $98 331%
Medical Mutual $98 331%
Meritain $98 331%
Trustmark Small Business Benefits $98 331%
Webtpa $98 331%
Cigna $169 571%
Health Partners $179 605%
Auxiant $183 618%
Medica $183 618%
Midlands $183 618%
Midlands Choice $183 618%
Usa Managed Care $240 811%
Crime Victim Assistance $282 953%
Blue Benefit Administrators Of Massachusetts $1,819 6145%
Blue Care Network $1,819 6145%
Blue Distinction Transplant $1,819 6145%
Blue Shield - Ca $1,819 6145%
Blue Shield - Id (Regence) $1,819 6145%
Blue Shield - Ny Highmark Northeastern $1,819 6145%
Blue Shield - Ny Highmark Western $1,819 6145%
Blue Shield - Pa (Highmark) $1,819 6145%
Blue Shield - Wa (Regence) $1,819 6145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals