CMS Price Transparency Data

Blood test, vitamin D

Facility: Carewell Health Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $25
Cash Discount Price: $50
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Carewell Health Medical Center is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 0.84x the Medicare baseline. Located in 300 Central Ave, East Orange, NJ.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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: $50 (169%)

Insurance Median: $25 (84%)

Cash: $50 (169% of Medicare)

Ins. Median: $25 (84% 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.

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
Magnacare	$10 - $67	34%
Oxford Health Plan	$11	37%
UnitedHealthcare	$11 - $30	37%
Aetna	$13 - $88	44%
Wellcare	$17 - $30	57%
Amerigroup	$18	61%
Clover	$30	101%
Horizon New Jersey Health	$30 - $65	101%
Blue Cross Blue Shield	$67	226%

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 $50.
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 Carewell Health 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.