CMS Price Transparency Data

Blood test, vitamin D

Facility: T J Samson Community Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $67
Cash Discount Price: $104
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at T J Samson Community Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.26x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $104 (351%)

Insurance Median: $67 (226%)

Cash: $104 (351% of Medicare)

Ins. Median: $67 (226% 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 226% of the Medicare baseline (a markup of 126%). 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	$23 - $193	78%
Caresource - All Plans	$28 - $67	95%
Wellcare Mcaid	$29	98%
Humana	$30 - $227	101%
Molina Mcr Adv	$30	101%
Signature Health - All Plans	$30	101%
Wellcare Mcr Adv - All Other Plans	$30	101%
Devoted Mcr Adv - All Plans	$31	105%
Molina Marketplace - All Other Plans	$44	149%
UnitedHealthcare	$47 - $114	159%
Center Care Select - All Plans	$80 - $193	270%
Phcs/Multiplan - All Plans	$88 - $213	297%
First Health - All Plans	$89 - $216	301%
Aetna	$94 - $227	318%
Molina Mcaid	$97 - $234	328%

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 $104.
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 T J Samson Community 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.