CMS Price Transparency Data

Blood test, vitamin D

Facility: Alton Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $111
Cash Discount Price: $115
vs. Medicare Baseline: 3.75x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Alton Memorial Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $115. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.75x the Medicare baseline. Located in One Memorial Drive, Alton, IL.

Cash / Self-Pay

$115

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $115 (389%)

Insurance Median: $111 (375%)

Cash: $115 (389% of Medicare)

Ins. Median: $111 (375% 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 375% of the Medicare baseline (a markup of 275%). 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
Aetna	$30 - $144	101%
Essence Healthcare [221]	$30	101%
Humana	$30 - $82	101%
UnitedHealthcare	$30 - $143	101%
Blue Cross Blue Shield	$31 - $167	105%
Cox Health [757]	$31	105%
Devoted Health Plan [847]	$31	105%
Medica [662]	$31	105%
Healthscope Benefits [258]	$36	122%
Cigna	$41 - $154	139%
Mercy Behavioral Health [573]	$48	162%
Allied Benefits [498]	$51 - $143	172%
Consociate [478]	$51	172%
Coresource [497]	$51	172%
Fmh Benefit Service Inc [222]	$51	172%
Mail Handlers [495]	$51	172%
Sarah Bush Lincoln [636]	$51	172%
Apwu Health Plan [216]	$63	213%
Nalc Health Benefit Plan [242]	$63	213%
Priority Health [648]	$63	213%
Healthlink [225]	$93 - $145	314%
Cox Health Systems Insurance Company [220]	$106 - $125	358%
Health Alliance [224]	$106	358%
Hope Trust [806]	$111	375%
Med-Pay [480]	$125 - $144	422%
Unicare [568]	$125 - $145	422%
First Health Commercial [734]	$143	483%
Beechstreet [551]	$144	486%
Detego Health [868]	$144	486%
Health Systems Inc [620]	$144	486%
Healthcare Sol Mercy [609]	$144	486%
Multiplan Commercial [737]	$144	486%
Multiplan [240]	$144	486%
Phcs [244]	$144 - $154	486%
Preferred Health Professionals [561]	$145	490%
Hfn [563]	$154	520%
Medica [661]	$154	520%

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 $115.
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 Alton Memorial 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.