CMS Price Transparency Data

Blood test, vitamin D

Facility: Strong Memorial Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $30
Cash Discount Price: $82
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Strong Memorial Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.01x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

$82

Average discount available for prompt cash payment at this facility.

Insurance Median

$30

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: $82 (277%)

Insurance Median: $30 (101%)

Cash: $82 (277% of Medicare)

Ins. Median: $30 (101% 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
Medicaid / KanCare	$26 - $44	88%
Medicare (plans)	$26 - $44	88%
Mvp [2900]	$26 - $28	88%
Blue Cross Blue Shield	$28 - $33	95%
Cigna	$28	95%
Excellus [2201]	$28	95%
UnitedHealthcare	$28 - $34	95%
Capital District Physicians Health Plan (Cdphp) [51490]	$30	101%
Martins Point [1205]	$30	101%
Aetna	$36 - $49	122%
Molina Healthcare [1723], Molina Healthcare [5189]	$36	122%
Humana	$38	128%
Independent Health [5156]	$44	149%
Fidelis [5155]	$65 - $67	220%
Molina Healthcare [5189]	$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 $82.
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 Strong Memorial Hospital 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.