CMS Price Transparency Data

Blood test, vitamin D

Facility: Essentia Health

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $121
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 4.09x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Essentia Health is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.09x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $173 (584%)
Insurance Median: $121 (409%)
Cash: $173 (584% of Medicare)
Ins. Median: $121 (409% 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 409% of the Medicare baseline (a markup of 309%). 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
Advocare/Security Health $30 101%
Blue Cross Blue Shield $30 - $176 101%
Freedom Blue Ppo $30 101%
Healthpartners Care Msho / Mcr Adv $30 101%
Imcare Msho Pcc Prime $30 101%
Imcare Msho Ref Req $30 101%
Itasca Med Care $30 101%
Medica Advantage Solutions $30 101%
Medica Msho/Dual Solutions $30 101%
Medica Prime Solution Group $30 101%
Medicare (plans) $30 101%
Nd Va Administration $30 101%
Platinum Blue/Vantage Blue $30 101%
Primewest $30 101%
Primewest Msho $30 101%
Secure Blue Msho $30 101%
Ubh Cost Plan $30 101%
Ubh Msho $30 101%
Ucare Msho $30 101%
UnitedHealthcare $30 - $207 101%
Medica Access $54 - $70 182%
Healthpartners Care Pmap $79 - $101 267%
Sanford Health Plan $87 - $117 294%
Medica $112 - $160 378%
Medica Uplan $112 - $144 378%
Medica Choice $128 - $165 432%
Ucare $133 - $171 449%
Cigna $135 - $174 456%
Healthpartners $135 - $174 456%
Healthpartners Pcc Prime $135 - $174 456%
Wea $145 - $200 490%
America'S Ppo $157 - $202 530%
Wps $168 - $218 568%
Aetna $172 - $221 581%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals