CMS Price Transparency Data

Blood test, vitamin D

Facility: Harlem Hospital Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $78
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.64x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Harlem Hospital Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.64x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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%)

Insurance Median: $78 (264%)

Ins. Median: $78 (264% 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 264% of the Medicare baseline (a markup of 164%). 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
Aetna	$22 - $87	74%
Healthfirst	$25 - $170	84%
Elderplan	$30	101%
Fidelis	$30 - $170	101%
Magnacare	$36	122%
Oxford	$43	145%
United	$43 - $95	145%
Oscar	$44	149%
Centerlight	$62	209%
Cigna	$72	243%
Metroplus	$72 - $170	243%
Wellcare	$74	250%
Amidacare	$76	257%
Blue Cross Blue Shield	$76 - $170	257%
Carelon	$76 - $81	257%
Senior Whole Health	$76	257%
United Behavioral Health	$76 - $83	257%
Affinity	$77 - $170	260%
Carelon (Amida Care)	$77	260%
Vnsny	$77 - $105	260%
Emblem	$87 - $102	294%
Multiplan	$99	334%
Local 1199	$105	355%
Villagecare Max	$105	355%

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 $X.
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 Harlem Hospital 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.