CMS Price Transparency Data

Blood test, vitamin D

Facility: North Adams Regional Hospital Corporation

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $102
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 3.45x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at North Adams Regional Hospital Corporation is $102. 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 3.45x the Medicare baseline. Located in 71 Hospital Avenue, North Adams, MA.
Cash / Self-Pay
$164

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $102 (345%)
Cash: $164 (554% of Medicare)
Ins. Median: $102 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
Mcd Masshealth $26 88%
Mcd New York $26 88%
Mcd Out Of State $26 88%
Mcdmanaged Cdphp $26 88%
Mcdmanaged Hne Mcdaco $26 88%
Medicaid / KanCare $26 - $76 88%
Mcdmanaged Bmchnp $27 - $30 91%
Mcdmanaged Network $29 - $98 98%
Medicare (plans) $29 - $40 98%
Comm Hospice $30 - $40 101%
Mcr Miscellaneous $30 - $40 101%
Mcrmanaged Usa Family $30 - $40 101%
Mcrmanaged Va $30 - $40 101%
Oth United Vaccn $30 - $40 101%
Blue Cross Blue Shield $33 - $147 111%
Mcrmanaged Cca One Care $33 - $39 111%
Aetna $35 - $131 118%
Tricare $36 - $65 122%
Comm Fallon Qhp $44 - $98 149%
Comm Unicare $77 - $112 260%
Comm Network Qhpsub $98 - $105 331%
Wc Workers Comp $105 355%
Comm Network Qhpnonsub $111 - $124 375%
Comm Nhp $112 378%
Comm Hne Hmo $114 - $130 385%
Comm Hne $117 - $121 395%
Comm Hne Ppo $121 - $130 409%
Comm Tufts $137 463%
UnitedHealthcare $149 503%
Cigna $156 - $161 527%
Comm Cdphp $156 527%
Comm Mvp $156 527%
Comm Oxford $156 527%
Comm First Health $161 - $164 544%
Comm Connecticare $164 554%
Comm Consolidated Health $164 554%
Comm Harvard $164 554%
Comm Other $164 554%
Comm Phcs $164 554%
Comm Self Pay $164 554%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Hospital Avenue, North Adams, MA 01247
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Federal
  • Hospital Type: Critical Access Hospitals