CMS Price Transparency Data

Blood test, vitamin D

Facility: Boston Children's Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $370
Cash Discount Price: $521
vs. Medicare Baseline: 12.50x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Boston Children's Hospital is $370. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $521. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 12.50x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$521

Average discount available for prompt cash payment at this facility.

Insurance Median

$370

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: $521 (1760%)

Insurance Median: $370 (1250%)

Cash: $521 (1760% of Medicare)

Ins. Median: $370 (1250% 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 1250% of the Medicare baseline (a markup of 1150%). 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
Blue Cross Blue Shield	$104 - $344	351%
Unicare	$117	395%
Cdphp	$255 - $443	861%
Harvard Pilgrim	$265 - $352	895%
United	$312 - $435	1054%
Aetna	$313 - $437	1057%
Mgb/Allways	$317 - $385	1071%
Tufts Public Plan	$320 - $321	1081%
United Ri Nj Ny	$328	1108%
Ambetter / Centene	$329	1111%
Carelon Strategies/Bhs	$339	1145%
UnitedHealthcare	$339 - $443	1145%
Carelon/Beacon	$391	1321%
Fallon	$398 - $402	1345%
Health New England	$421	1422%
Cigna	$443 - $470	1497%
Ets/Lifetrac	$443	1497%
Interlink Transplant	$443	1497%
Community Health Options	$469	1584%
Humana	$469	1584%
Coventry/Hcvm/First Health	$479	1618%
Multiplan/Phcs	$479 - $495	1618%

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 $521.
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 Children's Hospital 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.