CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercy Hospital Lincoln

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $154
Cash Discount Price: $215
vs. Medicare Baseline: 5.20x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercy Hospital Lincoln is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $215. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.20x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.

Cash / Self-Pay

$215

Average discount available for prompt cash payment at this facility.

Insurance Median

$154

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: $215 (726%)

Insurance Median: $154 (520%)

Cash: $215 (726% of Medicare)

Ins. Median: $154 (520% 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 520% of the Medicare baseline (a markup of 420%). 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
Medicaid / KanCare	$21 - $151	71%
Medicare (plans)	$30 - $330	101%
United Medical Resources Contracted [320454]	$30	101%
UnitedHealthcare	$30 - $78	101%
Blue Cross Blue Shield	$34 - $157	115%
Cigna	$39 - $83	132%
Healthlink Contracted [320179]	$42 - $280	142%
Aetna	$50 - $216	169%
Tricare	$71	240%
Provider Partners Health Plans Contracted [320450]	$77	260%
American Health Advantage Of Mo Mcr [10473]	$78	264%
Cherokee Nation Health Serv Contracted [320066]	$78	264%
Cross Timbers Hospice [20098]	$78	264%
Dept Of Veteran Affairs Contracted [320106]	$78	264%
Elara Caring Aspire Hospice Contracted [320433]	$78	264%
Elara Caring Aspire Hospice [20433]	$78	264%
Globalhealth Contracted [320145]	$78	264%
Halo Hcr Inc Hospice Contracted [320432]	$78	264%
Halo Hcr Inc Hospice [20432]	$78	264%
Humana	$78 - $297	264%
Indian Health Service Contracted [320198]	$78	264%
Kindful Hospice Contracted [320434]	$78	264%
Kindful Hospice [20434]	$78	264%
Mercy Hospice Okc [20252]	$78	264%
Pace Of The Ozarks Contracted [320518]	$78	264%
Qual Choice Contracted [320325]	$78	264%
Centivo Contracted [320505]	$120	405%
Medica Contracted [320239]	$139	470%
Ambetter / Centene	$151	510%
Home State Health Plan Contracted [320187]	$151	510%
Novasys Contracted [320285]	$151	510%
Hope Trust Contracted [320488]	$163	551%
Health Choices Contracted [320448]	$198	669%
Health Choices [20448]	$198	669%
Medical Associates Health Contracted [320444]	$198	669%
First Health Contracted [320128]	$216 - $248	730%
Mercy Mgd Behavioral Health Contracted [320259]	$248	838%
Multiplan Contracted [320270]	$248	838%
Private Health Care Systems Contracted [320320]	$248	838%
Workers Comp [20426]	$248 - $264	838%
Aither Health Contracted [320449]	$280	946%
Aither Health [20449]	$280	946%
Auxiant Contracted [320462]	$280	946%
Ebms Contracted [320493]	$280	946%
Edison Health Solutions Contracted [320502]	$280	946%
Federal Medical Center Contracted [320127]	$280	946%
Imagine 360 Contracted [320494]	$280	946%
Insurance System Inc Contracted [320465]	$280	946%
Mercy Benefit Admin Contracted [320251]	$280	946%
Mercy Benefit Admin [20251]	$280	946%
Point C Contracted [320238]	$280	946%
Preferred Health Plan Contracted [320522]	$280	946%
Reflect Health Contracted [320492]	$280	946%
Show-Me Health Administrators Contracted [320483]	$280	946%
Tri State Healthcare Coalition Contracted [320379]	$280	946%
Yuzu Health Contracted [320521]	$280	946%

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 $215.
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 Mercy Hospital Lincoln 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.