CMS Price Transparency Data

Blood test, vitamin D

Facility: Capital Health Medical Center - Hopewell

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $108
Cash Discount Price: $4,091
vs. Medicare Baseline: 3.65x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Capital Health Medical Center - Hopewell is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,091. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.65x the Medicare baseline. Located in One Capital Way, Pennington, NJ.

Cash / Self-Pay

$4,091

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $4,091 (13821%)

Insurance Median: $108 (365%)

Cash: $4,091 (13821% of Medicare)

Ins. Median: $108 (365% 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 365% of the Medicare baseline (a markup of 265%). 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
Medicaid / KanCare	$7 - $342	24%
Wellpoint	$7 - $346	24%
Aetna	$9 - $2,843	30%
Blue Cross Blue Shield	$17 - $958	57%
Clover	$30	101%
Horizon Nj Health	$30	101%
Humana	$30	101%
Medicare (plans)	$30	101%
Oxford Benefit Plan	$30	101%
UnitedHealthcare	$30	101%
Fidelis	$47	159%
Cigna	$108 - $6,006	365%
Multiplan	$147 - $6,807	497%

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 $4,091.
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 Capital Health Medical Center - Hopewell 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.