CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercy Hospital Carthage

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $93
Cash Discount Price: $110
vs. Medicare Baseline: 3.14x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercy Hospital Carthage is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.14x the Medicare baseline. Located in 3125 Dr Russell Smith Way, Carthage, MO.

Cash / Self-Pay

$110

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $110 (372%)

Insurance Median: $93 (314%)

Cash: $110 (372% of Medicare)

Ins. Median: $93 (314% 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 314% of the Medicare baseline (a markup of 214%). 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
Blue Cross Blue Shield	$25 - $118	84%
Medicaid / KanCare	$25 - $93	84%
Aetna	$26 - $150	88%
Humana	$26 - $51	88%
Medicare (plans)	$31 - $50	105%
United Medical Resources Contracted [320454]	$41 - $152	139%
UnitedHealthcare	$41 - $147	139%
Cherokee Nation Health Serv Contracted [320066]	$46	155%
Cigna	$46 - $152	155%
Cross Timbers Hospice [20098]	$46	155%
Dept Of Veteran Affairs Contracted [320106]	$46	155%
Elara Caring Aspire Hospice [20433]	$46	155%
Globalhealth Contracted [320145]	$46	155%
Halo Hcr Inc Hospice Contracted [320432]	$46	155%
Halo Hcr Inc Hospice [20432]	$46	155%
Indian Health Service Contracted [320198]	$46	155%
Kindful Hospice Contracted [320434]	$46	155%
Kindful Hospice [20434]	$46	155%
Medical Associates Health Contracted [320444]	$46	155%
Mercy Hospice Okc [20252]	$46	155%
Mercy Mgd Behavioral Health Contracted [320259]	$46	155%
Pace Of The Ozarks Contracted [320518]	$46	155%
Provider Partners Health Plans Contracted [320450]	$46	155%
Qual Choice Contracted [320325]	$46	155%
Tricare	$47	159%
Point C Contracted [320238]	$59 - $152	199%
Health Systems Inc Contracted [320174]	$73	247%
Insurance System Inc Contracted [320465]	$73	247%
Administrative Payor Contracted [320005]	$76	257%
Centivo Contracted [320505]	$78	264%
Healthscope Contracted [320182]	$88	297%
Ambetter / Centene	$93	314%
Home State Health Plan Contracted [320187]	$93	314%
Novasys Contracted [320285]	$93	314%
Benefit Management Contracted [320052]	$101 - $147	341%
Auxiant Contracted [320462]	$110 - $144	372%
Healthlink Contracted [320179]	$110 - $157	372%
Preferred Health Plan Contracted [320522]	$110	372%
Workers Comp [20426]	$135 - $169	456%
90 Degree Benefits Contracted [320436]	$144	486%
Aither Health Contracted [320449]	$144	486%
Ebms Contracted [320493]	$144	486%
Edison Health Solutions Contracted [320502]	$144	486%
Imagine 360 Contracted [320494]	$144	486%
Mercy Benefit Admin Contracted [320251]	$144 - $152	486%
Reflect Health Contracted [320492]	$144	486%
Show-Me Health Administrators Contracted [320483]	$144	486%
Yuzu Health Contracted [320521]	$144	486%
Medica Contracted [320239]	$146	493%
Evolutions Health Care Contracted [320124]	$147	497%
First Health Contracted [320128]	$147	497%
Multiplan Contracted [320270]	$147	497%
Private Health Care Systems Contracted [320320]	$147	497%
American Healthcare Alliance Contracted [320020]	$152	514%
Ppo Plus Contracted [320310]	$152	514%
Usa Managed Care Org Contracted [320429]	$152	514%

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 $110.
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 Carthage 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.