CMS Price Transparency Data

Blood test, vitamin D

Facility: St Mary's Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $88
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 2.97x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at St Mary's Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.97x the Medicare baseline. Located in 701 Lewiston St, Cottonwood, ID.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $70 (236%)
Insurance Median: $88 (297%)
Cash: $70 (236% of Medicare)
Ins. Median: $88 (297% 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 297% of the Medicare baseline (a markup of 197%). 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 $76 - $86 257%
Medicare (plans) $76 257%
Regence Blue Shield Mcr $76 257%
Tricare $76 257%
UnitedHealthcare $76 257%
Veterans Admin - All Plans $76 257%
Blue Cross Blue Shield $77 - $159 260%
Nimiipuu Mcr Adv - Allplans $77 260%
Idaho Phys Network - All Plans $88 297%
Corizon Correctional - All Plans $89 301%
Geha - All Plans $90 304%
Multiplan - All Plans $90 304%
First Choice- All Plans $91 307%
Regence Blue Shield - All Other Plans $93 314%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 Lewiston St, Cottonwood, ID 83522
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals