CMS Price Transparency Data

Blood test, vitamin D

Facility: Sanford Sheldon Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $95
Cash Discount Price: $114
vs. Medicare Baseline: 3.21x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Sanford Sheldon Medical Center is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.21x the Medicare baseline. Located in 118 North Seventh Avenue, Po Box 250, Sheldon, IA.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $114 (385%)

Insurance Median: $95 (321%)

Cash: $114 (385% of Medicare)

Ins. Median: $95 (321% 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 321% of the Medicare baseline (a markup of 221%). 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
Sanford Health Plan Align	$34 - $47	115%
Aetna	$37 - $143	125%
Blue Cross Blue Shield	$37 - $51	125%
Health Partners	$37 - $124	125%
Medicare (plans)	$37 - $51	125%
Ucare	$37 - $145	125%
UnitedHealthcare	$37 - $138	125%
Primewest	$38 - $52	128%
Wellmark	$60 - $86	203%
Sanford Health Plan	$65 - $104	220%
Security Health Plan	$67 - $91	226%
Medica	$100 - $146	338%
First Choice Health Network	$109 - $148	368%
Healthez	$109 - $148	368%
Multiplan	$109 - $148	368%

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 $114.
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 Sanford Sheldon Medical Center 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.