CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercyone Elkader Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $198
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 6.69x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercyone Elkader Medical Center is $198. 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 6.69x the Medicare baseline. Located in 901 Davidson Street Nw, Elkader, IA.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

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: $198 (669%)
Cash: $175 (591% of Medicare)
Ins. Median: $198 (669% 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 669% of the Medicare baseline (a markup of 569%). 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
Blue Cross Blue Shield $138 466%
Aetna $140 - $198 473%
Medicare (plans) $141 - $145 476%
UnitedHealthcare $148 - $202 500%
Iowa Total Care $167 564%
Medicaid / KanCare $170 - $171 574%
Amish Hospital Aid $186 628%
1199 National Benefit Fund $198 669%
Allied Benefit Systems $198 669%
Asr Health Benefits $198 669%
Christian Brother Services $198 669%
Coventry $198 669%
First Health $198 669%
Lucent Health $198 669%
Luminare Health $198 669%
Medical Mutual $198 669%
Meritain $198 669%
Trustmark Small Business Benefits $198 669%
Webtpa $198 669%
Geha $202 682%
Centivo $210 709%
Health Choices $215 726%
Medical Associates $215 726%
Ambetter / Centene $235 794%
Health Partners $259 875%
Auxiant $264 892%
Cigna $264 892%
Medica $264 892%
Midlands $264 892%
Midlands Choice $264 892%
Crime Victim Assistance $269 909%
Iowa Dept Of Public Health $269 909%
Claimdoc $281 949%
Nova $281 949%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 Davidson Street Nw, Elkader, IA 52043
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals