CMS Price Transparency Data

Blood test, vitamin D

Facility: Hermann Area District Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $141
Cash Discount Price: $146
vs. Medicare Baseline: 4.76x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Hermann Area District Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.76x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$141

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: $146 (493%)

Insurance Median: $141 (476%)

Cash: $146 (493% of Medicare)

Ins. Median: $141 (476% 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 476% of the Medicare baseline (a markup of 376%). 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
UnitedHealthcare	$44 - $102	149%
Coventry - All Plans	$72	243%
Tricare	$96	324%
Cigna	$99	334%
Choicecare Mcr Adv- All Plans	$102	345%
American Hlth Mcr Adv- All Plans	$107	361%
Blue Cross Blue Shield	$107 - $198	361%
Humana	$107	361%
Aetna	$109 - $231	368%
Wellcare Mcr Adv - All Plans	$109	368%
Harmony Hp Mcaid- All Plans	$141	476%
Healthcare Usa Mcaid- All Plans	$158	534%
Healthlink Hmo	$158	534%
Ambetter / Centene	$171	578%
Healthlink Ppo - All Other Plans	$182	615%
Multiplan/Phcs - All Plans	$182	615%
Comp Results - All Plans	$219	740%
Three Rivers - All Plans	$219	740%
Care Partners Mcaid- All Plans	$243	821%

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 $146.
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 Hermann Area District 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.