CMS Price Transparency Data

Blood test, vitamin D

Facility: Decatur County Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $133
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 4.49x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Decatur County Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.49x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$133

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: $133 (449%)
Insurance Median: $133 (449%)
Cash: $133 (449% of Medicare)
Ins. Median: $133 (449% 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 449% of the Medicare baseline (a markup of 349%). 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
UnitedHealthcare $49 - $141 166%
Blue Cross Blue Shield $53 179%
Champva -All Plans $75 253%
Everystep Hospice-All Plans $86 291%
Aetna $90 - $131 304%
Tricare $90 304%
Wellmark Hmo $103 348%
Benefit Admin System-All Plans $108 365%
Wellmark Ppo - All Other Plans $113 382%
Humana $121 409%
Meritain Health-All Plans $121 409%
Misc Commercial-All Plans $121 409%
All Savers-All Plans $124 419%
Allied Benefit System-All Plans $124 419%
American Family Ins Grp-All Plans $124 419%
Rural Carrier Benefit Plan-All Plans $128 432%
Christian Healthcare -All Plans $133 449%
Medica-All Other Plans $133 449%
Golden Rule-All Plans $141 476%
Ntca The Rural Broadband-All Plans $141 476%
Cigna $143 483%
Medical Mutual-All Plans $146 493%
Farm Bureau Financial-All Other Plans $149 503%
Farm Bureau Property And Ca $149 503%
Medi Share-All Plans $151 510%
Uhss-All Plans $151 510%
Health Partners-All Plans $153 517%
Lewermark-All Plans $158 534%
Mail Handlers Benefit-All Plans $163 551%
Midlands Choice-All Plans $163 551%
Priority Health-All Plans $166 561%
Iowa Total Care Mcaid-All Plans $169 571%
Amerigroup Mcaid-All Plans $174 588%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals