CMS Price Transparency Data

Blood test, vitamin D

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $223
Cash Discount Price: $336
vs. Medicare Baseline: 7.53x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Thomas H Boyd Memorial Hospital is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $336. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 7.53x the Medicare baseline. Located in 800 School St, Carrollton, IL.

Cash / Self-Pay

$336

Average discount available for prompt cash payment at this facility.

Insurance Median

$223

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: $336 (1135%)

Insurance Median: $223 (753%)

Cash: $336 (1135% of Medicare)

Ins. Median: $223 (753% 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 753% of the Medicare baseline (a markup of 653%). 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	$87 - $278	294%
UnitedHealthcare	$88 - $284	297%
Blue Cross Blue Shield	$119 - $410	402%
Meridian Hp Mcaid-All Plans	$119	402%
Molina Mcaid-All Plans	$119	402%
Health Alliance Mcr Adv	$149 - $278	503%
Wellcare Mcr Adv-All Plans	$149 - $278	503%
Humana	$151 - $281	510%
Health Alliance-All Other Plans	$179 - $334	605%
Ambetter / Centene	$194 - $362	655%
Cigna	$209 - $389	706%
Multiplan-All Plans	$220 - $410	743%
Healthlink Hmo	$223 - $415	753%
Healthlink Il Only	$223 - $415	753%
Healthlink Ppo-All Other Plans	$252 - $470	851%
Hfn Zelis-All Plans	$267 - $497	902%

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 $336.
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 Thomas H Boyd 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.