CMS Price Transparency Data

Blood test, vitamin D

Facility: Atlantic Rehabilitation Institute, LLC

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $193
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 6.52x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Atlantic Rehabilitation Institute, LLC is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 6.52x the Medicare baseline. Located in 200 Madison Ave, Madison, NJ.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$193

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: $193 (652%)
Insurance Median: $193 (652%)
Cash: $193 (652% of Medicare)
Ins. Median: $193 (652% 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 652% of the Medicare baseline (a markup of 552%). 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
Aetna $98 - $288 331%
All Savers Cpd $98 - $288 331%
Ama Insurance Msg $98 - $288 331%
Ambetter / Centene $98 - $288 331%
Amerigroup Mgg (Wellpoint As Of 5/1/24) $98 - $288 331%
Amerihealth Cpd $98 - $288 331%
Amerihealth Mgg $98 - $288 331%
Blue Cross Blue Shield $98 - $288 331%
Braven Health Cpd $98 - $288 331%
Braven Health Mgd $98 - $288 331%
Cigna $98 - $288 331%
Claim Doc Llc Cpd $98 - $288 331%
First Managed Care Wc Cpd $98 - $288 331%
Gateway Mgg $98 - $288 331%
Medicaid / KanCare $98 - $288 331%
Oscar Health Cpd $98 - $288 331%
Oxford Health Plan Cpd $98 - $288 331%
Oxford Mgg $98 - $288 331%
Qualcare Cpd $98 - $288 331%
Qualcare Lynx Wc Cpd $98 - $288 331%
UnitedHealthcare $98 - $288 331%
Upmc For Life Mgg $98 - $288 331%
Wellcare Mgg $98 - $288 331%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Madison Ave, Madison, NJ 07940
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL