CMS Price Transparency Data

Blood test, vitamin D

Facility: Golden Valley Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $30
  • Cash Discount Price: $136
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Golden Valley Memorial Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.01x the Medicare baseline. Located in 1600 N 2Nd St, Clinton, MO.
Cash / Self-Pay
$136

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $136 (459%)
Insurance Median: $30 (101%)
Cash: $136 (459% of Medicare)
Ins. Median: $30 (101% 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
Home State Health $29 98%
UnitedHealthcare $29 - $50 98%
Aetna $30 101%
Humana $30 101%
Ambetter / Centene $36 122%

Consumer Guidance & Cost Commentary

Golden Valley Memorial Hospital, located at 1600 N 2Nd St in Clinton, Missouri, charges a cash median price of $136 for CPT code 82306 (Blood test, vitamin D). This cash rate is significantly lower than the facility's gross charge of $227 and represents a substantial discount compared to the national average. The facility is a government-owned acute care hospital rated 3 stars, and while the state of Missouri does not provide a specific average for this procedure in the provided data, the cash price is notably below the facility's own listed gross amount.

For patients with insurance, the negotiated rates vary by payer, ranging from $29 to $50 depending on the plan. UnitedHealthcare plans show the widest range, with high-end rates at $50 and low-end rates at $29, while other payers like Home State Health, Aetna, Humana, and Ambetter / Centene have fixed rates between $29 and $36. The Medicare benchmark for this service is $29.60, which serves as a key reference point; commercial negotiated rates generally exceed this baseline, though some plans align closely with it. Patients should verify their specific deductible status and ask about prompt-pay discounts before scheduling, as paying cash upfront may result in a lower total cost than the insurance negotiated amount if their deductible has not been met.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 N 2Nd St, Clinton, MO 64735
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals