CMS Price Transparency Data

Blood test, vitamin D

Facility: Major Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $97
Cash Discount Price: $47
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Major Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.28x the Medicare baseline. Located in 2451 Intelliplex Dr, Shelbyville, IN.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $47 (159%)

Insurance Median: $97 (328%)

Cash: $47 (159% of Medicare)

Ins. Median: $97 (328% 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 328% of the Medicare baseline (a markup of 228%). 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	$30 - $93	101%
UnitedHealthcare	$33 - $123	111%
Caresource Mrktplce -All Plans	$56	189%
Ambetter / Centene	$59	199%
Sho Direct-All Plans	$61 - $104	206%
Phcs - All Plans	$84 - $144	284%
Aetna	$93 - $159	314%
Siho-All Plans	$97 - $164	328%
Humana	$100 - $170	338%
First Health - All Plans	$104 - $178	351%
Cigna	$110 - $187	372%

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 $47.
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 Major 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.