CMS Price Transparency Data

Blood test, vitamin D

Facility: Lost Rivers Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $140
Cash Discount Price: $178
vs. Medicare Baseline: 4.73x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Lost Rivers Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.73x the Medicare baseline. Located in 551 Highland Drive, Arco, ID.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$140

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: $178 (601%)

Insurance Median: $140 (473%)

Cash: $178 (601% of Medicare)

Ins. Median: $140 (473% 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 473% of the Medicare baseline (a markup of 373%). 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
Provider Network Of America-All Plans	$53	179%
Humana	$66 - $140	223%
Regence Blue Shield-All Other Plans	$66	223%
Select Health Brightpath-All Other Plans	$126	426%
Tricare	$126	426%
Ihcn Brightpath-All Other Plans	$133	449%
Va Pccc-All Plans	$136	459%
Blue Cross Blue Shield	$140 - $223	473%
Ihcn Brightpath Mcr Adv	$140	473%
Molina Mcr Adv-All Plans	$140	473%
Pacificsource Mcr Adv	$140	473%
Regence/Brightpth Slhp Mcr	$140	473%
Select Health Mcr Adv	$140	473%
Prime Hlth Mcr Adv	$148	500%
Aetna	$152 - $210	514%
Cigna	$207	699%
First Choice-All Plans	$207	699%
Pacificsource Navigator-All Other Plans	$212	716%
UnitedHealthcare	$212	716%
Altius Health Plan-All Plans	$216	730%

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 $178.
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 Lost Rivers 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.