CMS Price Transparency Data

Blood test, vitamin D

Facility: Fairview Bethesda Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $89
Cash Discount Price: $67
vs. Medicare Baseline: 3.01x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Fairview Bethesda Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.01x the Medicare baseline. Located in 45 10Th St W, Saint Paul, MN.

Cash / Self-Pay

$67

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $67 (226%)

Insurance Median: $89 (301%)

Cash: $67 (226% of Medicare)

Ins. Median: $89 (301% 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 301% of the Medicare baseline (a markup of 201%). 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
Health Partners	$23 - $160	78%
Blue Cross Blue Shield	$25 - $121	84%
Itasca Medical Care	$29 - $30	98%
Primewest	$29 - $30	98%
Sanford Health Plan	$29 - $121	98%
Security Health Plan	$29 - $154	98%
South Country Health Alliance	$29 - $30	98%
UnitedHealthcare	$29 - $118	98%
Wellcare	$29	98%
Medica	$30 - $149	101%
Ucare	$30 - $86	101%
Hennepin Health	$32 - $33	108%
America'S Ppo	$49 - $148	166%
First Health	$77 - $169	260%
Multiplan	$80 - $175	270%
Private Healthcare Systems	$80 - $175	270%
Wisconsin Physician Services	$85 - $185	287%

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 $67.
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 Fairview Bethesda 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.