CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercy Health Lakeshore Campus

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $26
  • Cash Discount Price: $47
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercy Health Lakeshore Campus is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 0.88x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$47

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $47 (159%)
Insurance Median: $26 (88%)
Cash: $47 (159% of Medicare)
Ins. Median: $26 (88% 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.

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
UnitedHealthcare $3 - $122 10%
Vitalcore $3 - $45 10%
Molina Marketplace $4 - $57 14%
Hospice Of Michigan $5 - $75 17%
Nomi Health $5 - $76 17%
Aetna $7 - $108 24%
Geha $7 - $122 24%
Hap $7 - $121 24%
Meritain $7 - $108 24%
Wc Accident Fund $7 - $107 24%
Wc Advantage $7 - $107 24%
Wc Aig $7 - $107 24%
Wc Allied $7 - $107 24%
Wc Amerisure $7 - $107 24%
Wc Amtrust $7 - $107 24%
Wc Asu Risk Mgt $7 - $107 24%
Wc Berkley Admin $7 - $107 24%
Wc Broadspire $7 - $107 24%
Wc Bunch & Associates $7 - $107 24%
Wc Ccmsi $7 - $107 24%
Wc Emc Insurance Company $7 - $107 24%
Wc Esis $7 - $107 24%
Wc Fcci $7 - $107 24%
Wc Federated $7 - $107 24%
Wc Gallagher Bassett $7 - $107 24%
Wc Genex Care For Ohio $7 - $107 24%
Wc Guard Insurance Company $7 - $107 24%
Wc Hartford $7 - $107 24%
Wc Liberty Mutual $7 - $107 24%
Wc Meijers $7 - $107 24%
Wc Michigan $7 - $107 24%
Wc Mitchell Frankenmuth $7 - $107 24%
Wc Pma $7 - $107 24%
Wc Sedgwick $7 - $107 24%
Wc Sentry $7 - $107 24%
Wc Travelers $7 - $107 24%
Wc Tristar $7 - $107 24%
Wc Walmart $7 - $107 24%
Wc Zurich $7 - $107 24%
1199 National Benefit Fund $8 - $117 27%
Acclaim $8 - $122 27%
Administrative Concepts $8 - $122 27%
Allegeant $8 - $122 27%
Allied Benefit Systems $8 - $122 27%
Allied National Global Care $8 - $117 27%
Ameriben $8 - $122 27%
American Family $8 - $122 27%
American Healthcare Alliance $8 - $122 27%
American Republic $8 - $122 27%
Amerihealth $8 - $122 27%
Asr Health Benefits $8 - $113 27%
Asrm - Reliance Standard Life Insurance $8 - $117 27%
Aultcare $8 - $122 27%
Automated Benefit Services $8 - $122 27%
Auxiant $8 - $122 27%
Bcn Domestic $8 - $116 27%
Benefit Administrative Systems,Llc $8 - $122 27%
Blue Benefit Administrators Of Massachusetts $8 - $116 27%
Blue Care Network $8 - $116 27%
Blue Cross Blue Shield $8 - $116 27%
Blue Distinction Transplant $8 - $116 27%
Blue Shield - Ca $8 - $116 27%
Blue Shield - Id (Regence) $8 - $116 27%
Blue Shield - Ny Highmark Northeastern $8 - $116 27%
Blue Shield - Ny Highmark Western $8 - $116 27%
Blue Shield - Pa (Highmark) $8 - $116 27%
Blue Shield - Wa (Regence) $8 - $116 27%
Boon Chapman $8 - $122 27%
Cam Administrative Services $8 - $122 27%
Caresource $8 - $121 27%
Christian Brother Services $8 - $122 27%
Christian Brothers Holy Cross $8 - $122 27%
Christian Care Ministry $8 - $117 27%
Cigna $8 - $118 27%
Claimchoice Adminstrators $8 - $122 27%
Comprehensive Benefits $8 - $122 27%
Consociate $8 - $122 27%
Continental Life Insurance $8 - $122 27%
Custom Benefit Administrators $8 - $122 27%
Cypress Benefit Administrators $8 - $122 27%
Dean Health $8 - $117 27%
Employee Benefit Concepts $8 - $122 27%
Employee Benefit Management $8 - $122 27%
Enterprise Group Planning $8 - $122 27%
Fallon Health $8 - $117 27%
Family Life Insurance Company $8 - $117 27%
First Health $8 - $123 27%
Forest County Potawatomi $8 - $122 27%
Freedom Life Insurance Company $8 - $122 27%
Ghc Scw $8 - $117 27%
Group Administrators $8 - $122 27%
Group Marketing Services $8 - $122 27%
Group Pension Administrators $8 - $117 27%
Guardian $8 - $122 27%
Health America $8 - $122 27%
Health Choices $8 - $122 27%
Health Smart $8 - $122 27%
Healthez $8 - $122 27%
Healthgram $8 - $122 27%
Healthscope $8 - $122 27%
Humana $8 - $122 27%
Insight $8 - $122 27%
Intercare $8 - $122 27%
International Benefit Administrators $8 - $117 27%
Jfp Benefit Management $8 - $122 27%
Jp Farley Corporation $8 - $122 27%
Kaiser Domestic $8 - $116 27%
Key Benefit Administrator $8 - $122 27%
Liberty Union Life Assurance Co $8 - $122 27%
Lifetime Benefit Solutions $8 - $117 27%
Lucent Health $8 - $122 27%
Luminare Health $8 - $122 27%
Luminare Health (Detroit) $8 - $122 27%
Manhattan Life $8 - $117 27%
Medben $8 - $122 27%
Medcost $8 - $122 27%
Medi Share $8 - $117 27%
Medical Mutual $8 - $122 27%
Multiplan $8 - $117 27%
Mutual Health Services $8 - $122 27%
Mutual Of Omaha $8 - $122 27%
Mvp $8 - $117 27%
Ncas $8 - $122 27%
Nippon Life Ins $8 - $122 27%
Nova $8 - $122 27%
Pai $8 - $117 27%
Painters Union Insurance Fund $8 - $122 27%
Pan-American Life $8 - $117 27%
Paramount Hmo $8 - $117 27%
Phcs $8 - $117 27%
Physicians Mutual $8 - $122 27%
Plumbers Local 98 Insurance Fund $8 - $122 27%
Prairie States $8 - $122 27%
Primary Physician Care $8 - $122 27%
Priority Health $8 - $123 27%
Professional Benefit Administrators $8 - $122 27%
Secureone Preferred United Plans $8 - $122 27%
The Loomis Company $8 - $122 27%
Trinity Health Share $8 - $117 27%
Trustmark Small Business Benefits $8 - $122 27%
U Of M Health Plan $8 - $122 27%
Unicare $8 - $122 27%
Unified Group Services $8 - $122 27%
Us Health And Life $8 - $122 27%
Valenz $8 - $122 27%
Varipro $8 - $122 27%
Western & Southern Financial Group $8 - $122 27%
Wps $8 - $122 27%
Medicaid / KanCare $22 74%
Access Health $24 81%
Blue Care Network Advantage $29 98%
Medicare (plans) $29 - $33 98%
Align Senior Care $34 115%
Correctional Recovery $34 115%
Longevity Ipa Of Michigan Llc Health Plan Isnp $38 128%
Oscar $42 142%
Wellpath $46 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals