CMS Price Transparency Data

Blood test, vitamin D

Facility: Portneuf Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $273
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 9.22x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Portneuf Medical Center is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 9.22x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$273

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: $193 (652%)
Insurance Median: $273 (922%)
Cash: $193 (652% of Medicare)
Ins. Median: $273 (922% 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 922% of the Medicare baseline (a markup of 822%). 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
Aetna $66 - $273 223%
Healthscope Benefits [2290] $66 223%
UnitedHealthcare $66 - $290 223%
Black Lung [6055] $132 446%
Employee Benefit Management Services [2445] $132 - $193 446%
Healthcare Highways [2210] $132 - $306 446%
Lucent Health [6000] $132 446%
Moda Health [6100] $132 446%
Oncology Patient Assistance Programs [2295] $132 446%
Pending Ssi [1616] $132 446%
Web Tpa [2115] $132 446%
Pacific Source Health Plans [2850] $185 625%
Liberty Health Share Lhs/Medcost Solutions Llc [2400] $193 652%
Medishare Christian Care [1645] $193 652%
Multiplan [1680] $216 - $306 730%
Worker'S Comp [2125] $234 - $242 791%
Cigna $237 801%
Enablecomp [1350] $242 818%
Transamerican Life [1990] $242 818%
First Health [1375] $266 899%
Mailhandlers [1595] $273 922%
Selecthealth [3740] $273 - $290 922%
Geha [1415] $290 980%
Humana $290 980%
Administrative Concepts [1005] $306 1034%
Healthfirst [2395] $306 1034%
Healthnet [1495] $306 1034%
Hometown Health [2155] $306 1034%
Mayo Clinic Health Solutions [2280] $306 1034%
Meritain Health [1655] $306 1034%
Mutual Of Omaha [1685] $306 1034%
National Association Of Letter Carriers [1695] $306 1034%
New Era Life Insurance Company [1705] $306 1034%
Pan American Life Insurance Co [1770] $306 1034%
Pba [1775] $306 1034%
Phcs [1780] $306 1034%
Planned Administrators Inc [2360] $306 1034%
Trustmark [2030] $306 1034%
Ut Id Teamsters [3760] $306 1034%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hospital Way, Pocatello, ID 83201
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals