CMS Price Transparency Data

Blood test, vitamin D

Facility: Madelia Health

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $219
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 7.40x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Madelia Health is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 7.40x the Medicare baseline. Located in 121 Drew Avenue Southeast, Madelia, MN.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

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: $239 (807%)
Insurance Median: $219 (740%)
Cash: $239 (807% of Medicare)
Ins. Median: $219 (740% 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 740% of the Medicare baseline (a markup of 640%). 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
UnitedHealthcare $77 - $111 260%
Blue Cross Blue Shield $96 - $315 324%
Tricare $166 - $239 561%
Ucare Mcr/Msho/Sr Plus $175 - $252 591%
Ucare Comm - All Other Plans $201 - $289 679%
Health Partners - All Plans $218 - $314 736%
Preferred One Ppo - All Plans $235 - $338 794%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 121 Drew Avenue Southeast, Madelia, MN 56062
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals