CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercy Medical Center-New Hampton

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $254
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 8.58x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercy Medical Center-New Hampton is $254. 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 8.58x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

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: $254 (858%)
Cash: $175 (591% of Medicare)
Ins. Median: $254 (858% 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 858% of the Medicare baseline (a markup of 758%). 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 $106 358%
Aetna $108 - $254 365%
Medicare (plans) $109 - $120 368%
UnitedHealthcare $114 - $161 385%
Health Choices $136 459%
Medical Associates $136 459%
Amish Hospital Aid $143 483%
Oscar $158 534%
Geha $161 544%
Ambetter / Centene $181 611%
Iowa Total Care $184 622%
Medicaid / KanCare $187 632%
Claimdoc $216 730%
Nova $216 730%
1199 National Benefit Fund $254 858%
Allied Benefit Systems $254 858%
Asr Health Benefits $254 858%
Coventry $254 858%
First Health $254 858%
Lucent Health $254 858%
Luminare Health $254 858%
Medical Mutual $254 858%
Meritain $254 858%
Trustmark Small Business Benefits $254 858%
Webtpa $254 858%
First Choice Health $256 865%
Health Partners $259 875%
Auxiant $261 882%
Cigna $261 882%
Medica $261 882%
Midlands $261 882%
Midlands Choice $261 882%
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: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals