CMS Price Transparency Data

Blood test, vitamin D

Facility: Sarah D Culbertson Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $207
Cash Discount Price: $262
vs. Medicare Baseline: 6.99x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Sarah D Culbertson Memorial Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 6.99x the Medicare baseline. Located in 238 South Congress Street, Rushville, IL.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$207

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: $262 (885%)

Insurance Median: $207 (699%)

Cash: $262 (885% of Medicare)

Ins. Median: $207 (699% 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 699% of the Medicare baseline (a markup of 599%). 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	$75 - $317	253%
Blue Cross Blue Shield	$75 - $345	253%
Corvel-All Plans	$75	253%
Meridian Hp Mcaid-All Plans	$75	253%
Molina Healthcare Mcaid	$75	253%
Humana	$99 - $151	334%
Molina Mmai-All Other Plans	$99 - $151	334%
UnitedHealthcare	$99 - $317	334%
Cigna	$170 - $260	574%
Beech Street-All Plans	$207 - $317	699%
Encompass-All Plans	$207 - $317	699%
Health Dynamics-All Plans	$207 - $317	699%
Healthlink-All Plans	$207 - $317	699%
Hfn Epo	$207 - $317	699%
Hfn Ppo Ip/Op Only-All Other Plans	$207 - $317	699%
Multiplan/Phcs-All Plans	$207 - $317	699%
Preferred Medical Claims Solution-All Plans	$207 - $317	699%
Three Rivers Provider Network-All Plans	$207 - $317	699%
Wexford Ip/Op Only-All Plans	$207 - $317	699%
Healthsmart-All Plans	$218 - $334	736%

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 $262.
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 Sarah D Culbertson 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.