CMS Price Transparency Data

Blood test, vitamin D

Facility: Pioneer Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $186
  • Cash Discount Price: $159
  • vs. Medicare Baseline: 6.28x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Pioneer Medical Center is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 6.28x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.
Cash / Self-Pay
$159

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

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: $159 (537%)
Insurance Median: $186 (628%)
Cash: $159 (537% of Medicare)
Ins. Median: $186 (628% 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 628% of the Medicare baseline (a markup of 528%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $86 - $247 291%
Health Info Net Mcr Adv $86 - $134 291%
Healtnet Federal-All Plans $86 - $134 291%
Humana $86 - $274 291%
Triwest Va Pccc-All Plans $86 - $134 291%
UnitedHealthcare $86 - $283 291%
Rocky Mountain Health Network-All Plans $134 - $209 453%
Allegiance Provider-All Plans $163 - $253 551%
Mountain Health Co-Op Hpn $169 - $262 571%
6 Degrees Health-All Plans $182 - $283 615%
Americas Choice-All Plans $182 - $283 615%
City Of Billings-All Plans $182 - $283 615%
Community Health Ntwk-All Plans $182 - $283 615%
Ebms Select Care Network-All Plans $182 - $283 615%
Fedmed Network-All Plans $182 - $283 615%
First Choice Big Sky-All Plans $182 - $283 615%
First Health-All Plans $182 - $283 615%
Interwest Ppo $182 - $283 615%
Mountain Health Co-Op-All Other Plans $182 - $283 615%
Pacific Source-All Plans $182 - $283 615%
Pacific Steel & Recycling-All Plans $182 - $283 615%
Three Rivers-All Plans $182 - $283 615%
Health Info Net Peak/Equity $186 - $289 628%
Health Info Net Standard-All Other Plans $186 - $289 628%
Mountain Health Co-Op Ppo/Pos $188 - $292 635%
Interwest Health Traditional-All Other Plans $192 - $298 649%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W 7Th Ave, Big Timber, MT 59011
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals