CMS Price Transparency Data

Blood test, vitamin D

Facility: Boston Medical Center-Brighton

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $31
Cash Discount Price: $56
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Boston Medical Center-Brighton is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.05x the Medicare baseline. Located in 736 Cambridge Street, Nevins Building, Brighton, MA.

Cash / Self-Pay

$56

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $56 (189%)

Insurance Median: $31 (105%)

Cash: $56 (189% of Medicare)

Ins. Median: $31 (105% 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
Fallon Healthcre Aco [1121]	$26	88%
Hlth New England Aco [1123]	$26	88%
Mass General Brigham Health Plan Aco [1120]	$26	88%
Mass General Brigham Health Plan Mcd Mnged [1107]	$26	88%
Medicaid / KanCare	$26	88%
Tufts Together Aco [1122]	$26	88%
Tufts Together Mco [1125]	$26	88%
Wellsense Alli Aco [1118]	$26	88%
Wellsense Essential Mco [1101]	$26	88%
Aetna	$30 - $87	101%
Blue Cross Blue Shield	$30 - $72	101%
Humana	$30	101%
Medicare (plans)	$30 - $31	101%
Neighborhood Pace [1206]	$30	101%
Senior Whole Health [1210]	$30	101%
Ubh Hphc [8016]	$30	101%
United Community Plan [1202]	$30	101%
UnitedHealthcare	$30	101%
Veterans Admin [9003]	$30	101%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010]	$30	101%
Cca [1215]	$31	105%
Eternalhealth [1227]	$31	105%
Zzzcca Onecare [1216]	$31	105%
Cigna	$33 - $90	111%
Fallon [8008]	$38	128%
Unicare [8004]	$52	176%
Wellpoint [2034]	$52	176%
Tufts [8002]	$79 - $90	267%
Meritain Health [1023]	$87	294%
Mass General Brigham Health Plan Commercial [8009]	$95	321%
Mass General Brigham Health Plan Prime [7003]	$95	321%
Harvard Pilgrim Health Care [8001]	$109	368%
Hsn Bad Debt [4003]	$475	1605%
Hsn Confidential [4007]	$475	1605%
Hsn Dental [4006]	$475	1605%
Hsn Partial [4002]	$475	1605%
Hsn [4001]	$475	1605%

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 $56.
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 Boston Medical Center-Brighton 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.