CMS Price Transparency Data

Blood test, vitamin D

Facility: Mc Donough District Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $202
  • Cash Discount Price: $106
  • vs. Medicare Baseline: 6.82x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mc Donough District Hospital is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 6.82x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$106

Average discount available for prompt cash payment at this facility.

Insurance Median
$202

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: $106 (358%)
Insurance Median: $202 (682%)
Cash: $106 (358% of Medicare)
Ins. Median: $202 (682% 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 682% of the Medicare baseline (a markup of 582%). 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
Health Alliance $18 - $219 61%
Hfn $27 - $221 91%
UnitedHealthcare $27 - $221 91%
Aetna $29 - $246 98%
Blue Cross Blue Shield $29 - $246 98%
Humana $29 - $221 98%
Medicaid / KanCare $29 - $246 98%
Tricare $29 98%
Medicare (plans) $30 101%
Meridian $30 101%
Molina $30 - $246 101%
Mutual Medical $30 - $246 101%
Veteran Affairs $30 101%
Springfield Health $202 682%
Consociate $209 706%
Trilogy $209 706%
Blue Choice $221 747%
Current Health $221 747%
Healthlink $221 - $231 747%
Preferred Plan $234 791%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals