CMS Price Transparency Data

Blood test, vitamin D

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $37
Cash Discount Price: $392
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at UMass Memorial Healthalliance Hospitals is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $392. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.25x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$392

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $392 (1324%)

Insurance Median: $37 (125%)

Cash: $392 (1324% of Medicare)

Ins. Median: $37 (125% 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.

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
Institution [10406]	$26 - $208	88%
Masshealth [20302]	$26	88%
Medicaid / KanCare	$26 - $33	88%
Cigna	$30 - $114	101%
Medicare (plans)	$30	101%
Tufts Dual [10111]	$30	101%
Tufts Us Family [11203]	$30	101%
Aetna	$31 - $256	105%
Blue Cross Blue Shield	$31 - $93	105%
Commonwealth Care Mcr [10115]	$31	105%
Fallon Mcr Supp [20202]	$31	105%
Harvard Pilgrim Mcr [10106]	$31	105%
Mgb Mcr [10124]	$31	105%
Tufts Mcr [10112]	$31	105%
UnitedHealthcare	$31 - $392	105%
Champva [11001]	$32	108%
Senior Whole Health [10110]	$32	108%
Correctional Care [11003]	$41 - $47	139%
Workers Compensation [20501]	$41	139%
Tufts Connectorcare [10507]	$50	169%
Tufts [11201]	$65	220%
Harvard Pilgrim [10701]	$68 - $82	230%
Wellpoint [11112]	$78	264%
Hne [11108]	$219	740%
Fallon Connectorcare [10503]	$229	774%
First Health Network [11120]	$294	993%
Hsno/Free Care [10801]	$294	993%
Multiplan [11109]	$294	993%
Connecticare [11105]	$392	1324%
Fallon Carelon Hlth [28]	$392	1324%
Fallon Mcaid Carelon Hlth [29]	$392	1324%
Grants [20507]	$392	1324%

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 $392.
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 UMass Memorial Healthalliance Hospitals 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.