CMS Price Transparency Data

Blood test, vitamin D

Facility: Mt Sinai Hospital Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $30
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mt Sinai Hospital Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.01x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $7 (24%)
Insurance Median: $30 (101%)
Cash: $7 (24% of Medicare)
Ins. Median: $30 (101% 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.

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
Oscar - All Plans $3 - $248 10%
Partners In Hlth - All Plans $4 - $90 14%
Blue Cross Blue Shield $5 - $143 17%
Healthlink Hmo $5 - $113 17%
Healthlink Ppo - All Other Plans $5 - $113 17%
Compsych Ip/Op Only - All Plans $6 - $135 20%
Hfn Platinum $7 - $146 24%
Multiplan Primary Ntwrk/Phcs - All Other Plans $7 - $158 24%
Hfn Epo $8 - $180 27%
Multiplan Complementary Ntwrk $8 - $180 27%
Hfn Ppo - All Other Plans $9 - $198 30%
Ambetter / Centene $11 - $236 37%
Cigna $12 - $278 41%
Aetna $23 - $509 78%
Tricare $29 98%
Va Healthnet - All Plans $29 98%
Advocate Physician Prtnrs Mcr $30 101%
Cenpatico Illinicare Dual $30 101%
Cenpatico Illinicare Mcr - All Other Plans $30 101%
Harmony Behavioral Htlh - All Plans $30 101%
Humana $30 - $707 101%
Lawndale Christian - All Plans $30 101%
Meridian/Harmony D-Snp - All Plans $30 101%
Nextlevel Hlth Icp Fhp Aca - All Plans $30 101%
UnitedHealthcare $30 101%
Molina Mcr - All Other Plans $31 105%
Zing Mcr Adv - All Plans $31 105%
Advocate Physician Prtnrs - All Other Plans $33 111%
Family Health Network Mcaid - All Plans $40 135%
Molina Mcaid $42 142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals