CMS Price Transparency Data

Blood test, vitamin D

Facility: Boone County Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $56
Cash Discount Price: $83
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Boone County Hospital is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.89x the Medicare baseline. Located in 1015 Union Street, Boone, IA.

Cash / Self-Pay

$83

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $83 (280%)

Insurance Median: $56 (189%)

Cash: $83 (280% of Medicare)

Ins. Median: $56 (189% 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.

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
Va Ccn-All Plans	$15 - $46	51%
Choice Care Mcr Adv - All Plans	$20 - $64	68%
Iowa Hlth Adv - All Plans	$20 - $64	68%
Mt Carmel Hp - All Plans	$20 - $64	68%
UnitedHealthcare	$20 - $92	68%
Aetna	$21 - $122	71%
Amerigroup Mcr Adv - All Other Plans	$21 - $65	71%
Meridian Mcaid - All Plans	$22 - $71	74%
Iowa Total Care Mcaid - All Plans	$23 - $72	78%
Medicaid / KanCare	$23 - $73	78%
Tricare	$30	101%
Healthsmart Accell Network	$35 - $110	118%
Medical Associates Hp-All Plans	$38 - $118	128%
Healthsmart Ppo - All Other Plans	$40 - $125	135%
Health Alliance-All Plans	$45 - $141	152%
Humana	$45 - $141	152%
Midlands Choice-All Plans	$46 - $144	155%
Mutually Preferred-All Plans	$48 - $149	162%
Wellmark Hmo	$108	365%
Wellmark Ppo - All Other Plans	$118	399%

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 $83.
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 Boone 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.