CMS Price Transparency Data

Blood test, vitamin D

Facility: Harlan County Health System

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $223
  • Cash Discount Price: $196
  • vs. Medicare Baseline: 7.53x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Harlan County Health System is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 7.53x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$196

Average discount available for prompt cash payment at this facility.

Insurance Median
$223

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: $196 (662%)
Insurance Median: $223 (753%)
Cash: $196 (662% of Medicare)
Ins. Median: $223 (753% 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 753% of the Medicare baseline (a markup of 653%). 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
Medica Mcr Adv $132 446%
Medica Prime Solution $132 446%
Humana $164 554%
Tricare $164 554%
Aetna $172 581%
Great Plains Mcr Adv-All Plans $172 581%
Medica Chi Aco - All Other Plans $223 753%
Medica Chi Health $223 753%
Medica Choice $223 753%
Blue Cross Blue Shield $233 - $235 787%
Ohara Llc Wc- All Plans $233 787%
Medica Ifb Aco $235 794%
Medica Ifb Open Access $235 794%
UnitedHealthcare $235 794%
Phcs/Multiplan-All Plans $240 811%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals