CMS Price Transparency Data

Blood test, vitamin D

Facility: Englewood Hospital and Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $585
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 19.76x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Englewood Hospital and Medical Center is $585. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 19.76x the Medicare baseline. Located in 350 Engle St, Englewood, NJ.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$585

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: $128 (432%)
Insurance Median: $585 (1976%)
Cash: $128 (432% of Medicare)
Ins. Median: $585 (1976% 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 1976% of the Medicare baseline (a markup of 1876%). 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
Oxford_741 $11 37%
UnitedHealthcare $11 - $30 37%
Heathnet Federal Services $27 91%
Hip Health Plan $27 - $28 91%
Aetna $30 - $663 101%
Americhoice_732 $30 101%
Americhoice_756 $30 101%
Amerigroup_758 $30 101%
Amerihealth_766 $30 101%
Blue Cross Blue Shield $30 - $781 101%
Clover_733 $30 101%
Horizon New Jersey Health - Dsnp $30 101%
Humana $30 101%
Emblem_734 $31 105%
Emblem_762 $31 105%
Wellcare_765 $32 108%
Health Care Support_787 $52 176%
Amerihealth_760 $53 179%
Wellcare_755 $94 - $105 318%
Magnacare_768 $110 372%
Magnacare_770 $110 372%
Amerigroup_754 $119 - $132 402%
Amerihealth_757 $554 - $618 1872%
Multiplan $579 - $660 1956%
Cigna $650 - $725 2196%
Horizon $706 - $841 2385%
Magnacare_763 $724 - $808 2446%
Magnacare_769 $724 - $808 2446%
Qualcare_752 $798 - $890 2696%
Qualcare $809 - $902 2733%
Bergen $905 - $1,010 3057%
Coventry $905 - $1,010 3057%
Magnacare $966 - $1,078 3264%
Qualcare_783 $7,783 26294%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Engle St, Englewood, NJ 07631
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals