CMS Price Transparency Data

Blood test, vitamin D

Facility: Warner Hospital and Health Services

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $185
Cash Discount Price: $332
vs. Medicare Baseline: 6.25x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Warner Hospital and Health Services is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $332. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 6.25x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$332

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $332 (1122%)

Insurance Median: $185 (625%)

Cash: $332 (1122% of Medicare)

Ins. Median: $185 (625% 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 625% of the Medicare baseline (a markup of 525%). 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	$85 - $441	287%
Aetna	$87 - $383	294%
Harmony Hp Mcaid-All Plans	$87	294%
Medicaid / KanCare	$87	294%
Meridian Hp-All Plans	$87	294%
Molina-All Other Plans	$87	294%
Health Alliance Med Adv	$88 - $185	297%
Humana	$88 - $383	297%
Molina Mcr/Mcd Dual	$88 - $185	297%
UnitedHealthcare	$88 - $383	297%
Wellcare Mcr Adv-All Plans	$88 - $185	297%
Healthlink Hmo	$167 - $351	564%
City Of Clinton (Employees Serv)-All Plans	$171 - $360	578%
Cigna	$178 - $374	601%
Caterpillar-All Plans	$182 - $383	615%
Multiplan Phcs-All Plans	$182 - $383	615%
Health Alliance-All Other Plans	$188 - $396	635%
Healthlink Ppo/Work Comp-All Other Plans	$188 - $396	635%
Consociate Care Ppo-All Plans	$193 - $405	652%
Hfn Ppo/Epo-All Plans	$193 - $405	652%
Three Rivers-All Plans	$203 - $428	686%

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 $332.
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 Warner Hospital and Health Services 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.