CMS Price Transparency Data

Blood test, vitamin D

Facility: Berkshire Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $112
Cash Discount Price: $164
vs. Medicare Baseline: 3.78x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Berkshire Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.78x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$164

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $164 (554%)

Insurance Median: $112 (378%)

Cash: $164 (554% of Medicare)

Ins. Median: $112 (378% 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 378% of the Medicare baseline (a markup of 278%). 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
Cdphp	$26 - $156	88%
Fallon	$26 - $76	88%
Health New England	$26 - $121	88%
Mbhp	$26	88%
Mcd Out Of State	$26	88%
Medicaid / KanCare	$26	88%
Medicare (plans)	$29	98%
Point32Health	$29 - $164	98%
Blue Cross Blue Shield	$30 - $147	101%
Bmchnp	$30 - $34	101%
Commcare Alliance	$30 - $35	101%
Hospice	$30	101%
Other Government	$30 - $36	101%
UnitedHealthcare	$30 - $149	101%
Aetna	$35 - $131	118%
Unicare	$77 - $112	260%
Comm Tufts Qhpsub (Network)	$98 - $105	331%
Workers Comp	$105	355%
Allways Nhp	$112	378%
Comm Hne Hmo	$114 - $130	385%
Comm Hne Ppo	$121 - $130	409%
Beacon	$147 - $156	497%
Cigna	$156 - $161	527%
Mvp	$156	527%
Oxford	$156	527%
First Health	$161 - $164	544%
Connecticare	$164	554%
Consolidated Health Plans	$164	554%
Other Commercial	$164	554%
Phcs	$164	554%
Self Pay	$164	554%

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 $164.
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 Berkshire Medical Center 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.