CMS Price Transparency Data

Blood test, vitamin D

Facility: Fairfield Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $43
Cash Discount Price: $59
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Fairfield Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.45x the Medicare baseline. Located in 401 North Ewing Street, Lancaster, OH.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $59 (199%)

Insurance Median: $43 (145%)

Cash: $59 (199% of Medicare)

Ins. Median: $43 (145% 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
UnitedHealthcare	$16 - $30	54%
Medicaid / KanCare	$19	64%
Molina	$19 - $49	64%
Amerihealth Caritas Ohio	$20	68%
Blue Cross Blue Shield	$20 - $26,250	68%
Buckeye Community Health	$20 - $46	68%
Caresource	$20 - $38	68%
Humana	$20 - $125	68%
Aetna	$29 - $87	98%
Medical Mutual	$29 - $33,500	98%
Medicare (plans)	$29	98%
Allied Benefit Systems	$30 - $92	101%
Medigold	$30	101%
Meritain Health	$30 - $92	101%
Oscar	$30	101%
The Health Plan	$30 - $91	101%
Va Ccn	$30	101%
Valor Health Plan	$30	101%
Bwc	$41	139%
Quality Care Partners/Ohio Ppo Connect	$95	321%
The Ohio State Health Plan	$102	345%
Cigna	$109	368%
Ohio Healthy	$124	419%
Multiplan	$125	422%
Miscellaneous Plans	$132	446%

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 $59.
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 Fairfield 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.