CMS Price Transparency Data

Blood test, vitamin D

Facility: Decatur Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $203
Cash Discount Price: $442
vs. Medicare Baseline: 6.86x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Decatur Memorial Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $442. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 6.86x the Medicare baseline. Located in 2300 North Edward Street, Decatur, IL.

Cash / Self-Pay

$442

Average discount available for prompt cash payment at this facility.

Insurance Median

$203

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: $442 (1493%)

Insurance Median: $203 (686%)

Cash: $442 (1493% of Medicare)

Ins. Median: $203 (686% 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 686% of the Medicare baseline (a markup of 586%). 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
Blue Cross Blue Shield	$27 - $442	91%
Aetna	$29 - $297	98%
Coventry	$29 - $224	98%
Health Alliance	$29 - $294	98%
Humana	$29 - $287	98%
Medicaid / KanCare	$29	98%
Medicare (plans)	$29	98%
UnitedHealthcare	$29 - $442	98%
Veterans Administration	$29	98%
Wellcare	$29	98%
Tricare	$30	101%
Caterpillar	$37	125%
Plain Church Medical Group	$40 - $199	135%
Illinois Workers Compensation	$133 - $196	449%
Mennonite Churches	$155	524%
Hfn	$184 - $332	622%
Commercial Workers Compensation	$186	628%
Health Alliance Mh Employee Plan	$203	686%
Cigna	$206	696%
6 Degrees Health	$265	895%
Hopetrust	$265	895%
Hst	$265	895%
Phcs Savility	$287	970%
Phcs Multiplan Ppo	$301	1017%
Healthlink	$303	1024%
Corvel	$318	1074%
Consociate	$327	1105%
Liability	$442	1493%

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 $442.
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 Decatur 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.