CMS Price Transparency Data

Blood test, vitamin D

Facility: Jersey Shore University Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $357
Cash Discount Price: $30
vs. Medicare Baseline: 12.06x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Jersey Shore University Medical Center is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 12.06x the Medicare baseline. Located in 1945 Rte 33, Neptune, NJ.

Cash / Self-Pay

$30

Average discount available for prompt cash payment at this facility.

Insurance Median

$357

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: $30 (101%)

Insurance Median: $357 (1206%)

Cash: $30 (101% of Medicare)

Ins. Median: $357 (1206% 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 1206% of the Medicare baseline (a markup of 1106%). 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
UnitedHealthcare	$24 - $272	81%
Amerigroup	$30	101%
Clover	$30	101%
Seoul Medical Group	$30	101%
Vaccn	$30	101%
Wellcare	$30	101%
United Community/Americhoice	$31	105%
Aetna	$32 - $377	108%
Karna	$39	132%
Blue Cross Blue Shield	$104 - $112	351%
Cigna	$136 - $385	459%
Oxford	$254 - $272	858%
Qualcare	$261 - $437	882%
Horizon	$310 - $481	1047%
Beacon	$338 - $361	1142%
Bergen Risk	$338 - $361	1142%
Brighton Health Plan	$360 - $385	1216%
Activecare First McO	$382 - $409	1291%
Multiplan - PHCS	$382 - $409	1291%
Amerihealth	$393 - $476	1328%

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 $30.
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 Jersey Shore University Medical Center 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.