CMS Price Transparency Data

Blood test, vitamin D

Facility: Dukes Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $87
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 2.94x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Dukes Memorial Hospital is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.94x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $179 (605%)
Insurance Median: $87 (294%)
Cash: $179 (605% of Medicare)
Ins. Median: $87 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
Blue Cross Blue Shield $14 - $191 47%
Department Of Veterans Affairs $20 - $111 68%
Tricare $20 - $111 68%
Aetna $21 - $285 71%
Humana $21 - $117 71%
Iu Health Plan $21 - $117 71%
Managed Health Services $21 - $239 71%
Medicare (plans) $21 - $117 71%
Node Devoted Health Mcr Adv $21 - $120 71%
Node Va $21 - $289 71%
UnitedHealthcare $21 - $294 71%
In Dept Of Correction $22 - $124 74%
Miami County Sheriffs Department $22 - $124 74%
Node Pphp Mcr Adv $22 - $126 74%
Caresource $29 - $30 98%
Medicaid / KanCare $30 101%
Mhs $30 101%
Veterans Eval Services $30 101%
Lutheran Advanced Network $32 - $179 108%
Lutheran Three Rivers Preferred Plus 150 $32 - $179 108%
Node Lutheran Preferred Fixed 2 $32 - $179 108%
Align Network $34 - $191 115%
Lutheran Preferred $34 - $478 115%
Lutheran Three Rivers Preferred Plus 175 $37 - $209 125%
Us Department Of Labor $37 125%
Encore Work Comp In $39 - $215 132%
Prime Health Services $39 - $448 132%
Partners Direct Health Llc $41 - $227 139%
Lutheran Northwest Health Preferred $43 - $239 145%
Physicians Health Plan $43 - $279 145%
Three Rivers Preferred Plus $43 - $239 145%
Work Comp $43 - $239 145%
Cigna $45 - $598 152%
Three Rivers Preferred $48 - $269 162%
Php Freedom $49 - $276 166%
Encore Kba Epo $51 - $287 172%
Amish Aid $54 - $299 182%
Encore Ppo $54 - $299 182%
Self Pay $54 - $329 182%
Sagamore Health Network $59 - $331 199%
Encore Kba Ppo $64 - $359 216%
Consumer Life $66 - $371 223%
First Health $86 - $478 291%
Multiplan $87 - $484 294%
Encore Health Network $88 - $490 297%
Advantage Health Solutions $89 - $496 301%
Encore $96 - $538 324%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals