CMS Price Transparency Data

Blood test, vitamin D

Facility: HSHS St Elizabeth's Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $155
  • Cash Discount Price: $124
  • vs. Medicare Baseline: 5.24x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at HSHS St Elizabeth's Hospital is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.24x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.
Cash / Self-Pay
$124

Average discount available for prompt cash payment at this facility.

Insurance Median
$155

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: $124 (419%)
Insurance Median: $155 (524%)
Cash: $124 (419% of Medicare)
Ins. Median: $155 (524% 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 524% of the Medicare baseline (a markup of 424%). 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
Molina Healthcare $21 - $172 71%
Meridian Health Plan $22 74%
Aetna $30 - $172 101%
Blue Cross Blue Shield $30 - $172 101%
Clear Spring Health Of Illinois $30 - $172 101%
Health Alliance Medical Plans $30 - $172 101%
Health Partners $30 - $172 101%
Humana $30 - $172 101%
Sae Hospice $30 - $172 101%
UnitedHealthcare $30 - $172 101%
Amish Community $48 162%
Celtic Insurance Company $63 - $172 213%
Naphcare $67 - $172 226%
Claim Doc $74 - $172 250%
Hopetrust $74 - $172 250%
Wellfirst $111 375%
First Health $128 432%
Cigna $136 - $172 459%
Healthlink $137 - $172 463%
Caterpillar, Inc. $138 466%
Consociate Group $151 510%
Choicecare $155 524%
Healthcare Finest Network (Hfn) $155 524%
Multiplan/Phcs $155 524%
Provider Network Of America $155 524%
City Of Springfield $172 581%
Current Health Solutions $172 581%
Healthscope $172 581%
Illinois Breast And Cervical Cancer Program $172 581%
Interplan $172 581%
Live360 $172 581%
Wexford $172 581%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals