CMS Price Transparency Data

Blood test, vitamin D

Facility: Rockcastle County Hospital, Inc.

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $116
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 3.92x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Rockcastle County Hospital, Inc. is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.92x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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: $137 (463%)
Insurance Median: $116 (392%)
Cash: $137 (463% of Medicare)
Ins. Median: $116 (392% 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 392% of the Medicare baseline (a markup of 292%). 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
Tricare $22 74%
Blue Cross Blue Shield $23 - $896 78%
Caresource Mcr Adv-All Other Plans $30 101%
Humana $30 101%
Molina Marketplace - All Other Plans $30 101%
Molina Mcr Adv $30 101%
Passport Hp Hmo - All Plans $30 - $350 101%
Signature Mcr Adv-All Plans $30 101%
Wellcare Mcr Adv-All Other Plans $30 101%
Multiplan-All Plans $94 - $1,103 318%
Prime Health Services-All Plans $94 - $1,103 318%
Integrated Hp-All Plans $98 - $1,155 331%
Corvel - All Plans $99 - $1,168 334%
Center Care-All Plans $104 - $1,233 351%
Cigna $107 - $1,259 361%
Caresource Mcaid $110 - $1,298 372%
Coventry Mcaid-All Plans $110 - $1,298 372%
Medicaid / KanCare $110 - $1,298 372%
Molina Mcaid $110 - $1,298 372%
UnitedHealthcare $110 - $1,298 372%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals