CMS Price Transparency Data

Blood test, vitamin D

Facility: Saint Joseph Regional Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $89
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 3.01x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Saint Joseph Regional Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.01x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $214 (723%)
Insurance Median: $89 (301%)
Cash: $214 (723% of Medicare)
Ins. Median: $89 (301% 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 301% of the Medicare baseline (a markup of 201%). 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
Aetna $17 - $161 57%
Blue Cross Blue Shield $17 - $59 57%
Medicaid / KanCare $17 - $30 57%
UnitedHealthcare $17 - $210 57%
Managed Health Services - Indiana $30 101%
Mdwise $30 101%
Medicare (plans) $30 101%
Meridian Complete $30 101%
Pace-Trinity Health $30 101%
County Coroner $31 105%
Provider Partners Health Plan Of Indiana $33 111%
Auxiant $44 - $273 149%
Physicians Health Plan Northern Indiana Health Insurance $44 - $89 149%
St Joseph County Hlth Dpt $44 149%
Caresource $46 155%
Siho Insurance Services $47 159%
Key Benefit Administrator $53 - $205 179%
Allied Benefit Systems $56 - $214 189%
Blue Benefit Administrators Of Massachusetts $59 199%
Blue Care Network $59 199%
Blue Distinction Transplant $59 199%
Blue Shield - Ca $59 199%
Blue Shield - Id (Regence) $59 199%
Blue Shield - Ny Highmark Northeastern $59 199%
Blue Shield - Ny Highmark Western $59 199%
Blue Shield - Pa (Highmark) $59 199%
Blue Shield - Wa (Regence) $59 199%
Custom Design Benefits $64 216%
Hospice Of Marshall County $86 291%
Hospice Of St Joseph County $86 291%
Plain Church Group $89 301%
Asr Health Benefits $161 544%
Christian Brother Services $161 544%
Employee Benefit Management $161 544%
Medical Mutual $161 544%
Meritain $161 544%
Preferred One $161 544%
Rural Carrier Health Benefit Plan $161 544%
Webtpa $161 544%
Notre Dame Athletic Association $181 611%
Wc Notre Dame $181 611%
Luminare Health (Detroit) $188 - $197 635%
Encore Health $195 - $205 659%
Ameriben $197 666%
Indiana Criminal Justice Inst $205 693%
Western & Southern Financial Group $205 693%
Geha $210 709%
Healthscope $210 709%
Student Insurance Cma $210 709%
Cigna $211 713%
Group Administrators $211 713%
Health Partners $211 713%
Mvp $211 713%
Prairie States $211 713%
Priority Health $211 713%
Professional Benefit Administrators $211 713%
Sagamore Health Network $211 - $243 713%
Sisco Benefits $211 713%
Unified Group Services $211 713%
Goshen Preferred Network $253 - $283 855%
Christian Brothers Holy Cross $263 889%
Signature Care $263 889%
Bankers Life Casualty $329 1111%
Bureau Of Disability $329 1111%
Wc Align Network $329 1111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals