CMS Price Transparency Data

Blood test, vitamin D

Facility: St Louis Childrens Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $402
Cash Discount Price: $326
vs. Medicare Baseline: 13.58x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at St Louis Childrens Hospital is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $326. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 13.58x the Medicare baseline. Located in One Childrens Place, Saint Louis, MO.

Cash / Self-Pay

$326

Average discount available for prompt cash payment at this facility.

Insurance Median

$402

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: $326 (1101%)

Insurance Median: $402 (1358%)

Cash: $326 (1101% of Medicare)

Ins. Median: $402 (1358% 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 1358% of the Medicare baseline (a markup of 1258%). 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
Aetna	$30 - $429	101%
Essence Healthcare [221]	$30	101%
Humana	$30 - $405	101%
UnitedHealthcare	$30 - $403	101%
Blue Cross Blue Shield	$31 - $462	105%
Cox Health [757]	$31	105%
Medica [662]	$31	105%
Healthlink [225]	$263 - $410	889%
Cigna	$268 - $295	905%
Consociate [478]	$294	993%
Sarah Bush Lincoln [636]	$294	993%
Apwu Health Plan [216]	$295	997%
Nalc Health Benefit Plan [242]	$295	997%
Priority Health [648]	$295	997%
Allied Benefits [498]	$315 - $429	1064%
Hope Trust [806]	$315	1064%
Cox Health Systems Insurance Company [220]	$353 - $402	1193%
Med-Pay [480]	$353 - $407	1193%
Unicare [568]	$353 - $410	1193%
Health Alliance [224]	$380	1284%
Healthscope Benefits [258]	$387 - $434	1307%
First Health Commercial [734]	$403	1361%
Beechstreet [551]	$407	1375%
Detego Health [868]	$407	1375%
Health Systems Inc [620]	$407	1375%
Healthcare Sol Mercy [609]	$407	1375%
Multiplan Commercial [737]	$407	1375%
Multiplan [240]	$407	1375%
Phcs [244]	$407 - $434	1375%
Preferred Health Professionals [561]	$410	1385%
Coresource [497]	$429	1449%
Fmh Benefit Service Inc [222]	$429	1449%
Mail Handlers [495]	$429	1449%
Medica [661]	$434	1466%
Hfn [563]	$462	1561%

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 $326.
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 St Louis Childrens 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.