CMS Price Transparency Data

Blood test, vitamin D

Facility: Monroe County Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $128
Cash Discount Price: $155
vs. Medicare Baseline: 4.32x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Monroe County Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.32x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $155 (524%)

Insurance Median: $128 (432%)

Cash: $155 (524% of Medicare)

Ins. Median: $128 (432% 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 432% of the Medicare baseline (a markup of 332%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Wellmark Hmo	$34	115%
Wellmark Ppo - All Other Plans	$37	125%
Va Ccn - All Plans	$77	260%
Mahp Mcare - All Plans	$109	368%
Tricare	$109	368%
UnitedHealthcare	$109 - $246	368%
Amerigroup Mcare	$110	372%
Humana	$110	372%
Wellmark Mcare	$110	372%
Aetna	$111 - $243	375%
Iowa Total Care Mcaid - All Plans	$129	436%
Molina Mcaid - All Plans	$131	443%
Amerigroup Mcaid - All Other Plans	$133	449%
Centivo - All Plans	$163	551%
Midlands Choice - All Plans	$181	611%
Preferred Hlth - All Plans	$194	655%
Geha - All Plans	$207	699%
Multiplan - All Plans	$233	787%
Integrated Hp - All Plans	$251	848%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $155.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82306.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Monroe County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82306.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.