CMS Price Transparency Data
Blood test, vitamin D
Facility: Mercy Hospital Joplin
Billing Code: 82306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82306
- Insurance Median: $59
- Cash Discount Price: $268
- vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercy Hospital Joplin is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $268. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.99x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.
Cash / Self-Pay
$268
Average discount available for prompt cash payment at this facility.
Insurance Median
$59
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: $268 (905%)
Insurance Median: $59 (199%)
Cash: $268 (905% of Medicare)
Ins. Median: $59 (199% 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 |
|---|---|---|
| Blue Cross Blue Shield | $24 - $301 | 81% |
| Medicaid / KanCare | $25 - $48 | 84% |
| Aetna | $26 - $36 | 88% |
| Humana | $26 - $124 | 88% |
| Medica Contracted [320239] | $28 | 95% |
| Champva [20065] | $29 | 98% |
| Cherokee Nation Health Serv Contracted [320066] | $29 | 98% |
| Cigna | $29 - $169 | 98% |
| Cross Timbers Hospice [20098] | $29 | 98% |
| Dept Of Veteran Affairs Contracted [320106] | $29 | 98% |
| Elara Caring Aspire Hospice [20433] | $29 | 98% |
| Globalhealth Contracted [320145] | $29 | 98% |
| Halo Hcr Inc Hospice Contracted [320432] | $29 | 98% |
| Halo Hcr Inc Hospice [20432] | $29 | 98% |
| Indian Health Service Contracted [320198] | $29 - $268 | 98% |
| Kindful Hospice Contracted [320434] | $29 | 98% |
| Kindful Hospice [20434] | $29 | 98% |
| Medicare (plans) | $29 - $31 | 98% |
| Mercy Hospice Okc [20252] | $29 | 98% |
| Mercy Mgd Behavioral Health Contracted [320259] | $29 | 98% |
| Pace Of The Ozarks Contracted [320518] | $29 | 98% |
| Provider Partners Health Plans Contracted [320450] | $29 | 98% |
| Qual Choice Contracted [320325] | $29 | 98% |
| Tricare | $29 | 98% |
| UnitedHealthcare | $29 - $40 | 98% |
| United Medical Resources Contracted [320454] | $30 - $105 | 101% |
| Healthscope Contracted [320182] | $36 | 122% |
| Health Choice Contracted [320166] | $37 | 125% |
| Ambetter / Centene | $48 | 162% |
| Home State Health Plan Contracted [320187] | $48 | 162% |
| Novasys Contracted [320285] | $48 | 162% |
| Centivo Contracted [320505] | $49 | 166% |
| Providrs Care Network Contracted [320484] | $56 | 189% |
| Aither Health Contracted [320449] | $59 - $235 | 199% |
| Auxiant Contracted [320462] | $59 - $268 | 199% |
| Ebms Contracted [320493] | $59 | 199% |
| Healthlink Contracted [320179] | $59 - $268 | 199% |
| Imagine 360 Contracted [320494] | $59 | 199% |
| Mercy Benefit Admin Contracted [320251] | $59 - $235 | 199% |
| Reflect Health Contracted [320492] | $59 | 199% |
| Yuzu Health Contracted [320521] | $59 | 199% |
| Point C Contracted [320238] | $145 - $330 | 490% |
| 90 Degree Benefits Contracted [320436] | $173 | 584% |
| Show-Me Health Administrators Contracted [320483] | $173 - $182 | 584% |
| Benefit Management Contracted [320052] | $178 | 601% |
| Health Systems Inc Contracted [320174] | $178 | 601% |
| Insurance System Inc Contracted [320465] | $178 | 601% |
| Administrative Payor Contracted [320005] | $186 | 628% |
| Edison Health Solutions Contracted [320502] | $235 | 794% |
| Preferred Health Plan Contracted [320522] | $268 | 905% |
| First Health Contracted [320128] | $281 | 949% |
| American Healthcare Alliance Contracted [320020] | $289 | 976% |
| Multiplan Contracted [320270] | $318 | 1074% |
| Private Health Care Systems Contracted [320320] | $318 | 1074% |
| Usable Contracted [320409] | $318 | 1074% |
| Point C [20238] | $330 | 1115% |
| Workers Comp [20426] | $330 - $413 | 1115% |
| Usa Managed Care Org Contracted [320429] | $363 | 1226% |
| Ppo Plus Contracted [320310] | $372 | 1257% |