CMS Price Transparency Data

Blood test, vitamin D

Facility: Southwest General Health Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $65
Cash Discount Price: $108
vs. Medicare Baseline: 2.20x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Southwest General Health Center is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.20x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$65

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: $108 (365%)

Insurance Median: $65 (220%)

Cash: $108 (365% of Medicare)

Ins. Median: $65 (220% 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 220% of the Medicare baseline (a markup of 120%). 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
Medical Mutual	$13 - $14	44%
Medical Mutual-Ohio	$13	44%
Healthsmart	$18 - $74	61%
Health Design Plus	$21 - $85	71%
Humana	$22 - $90	74%
Clarity Health	$23 - $92	78%
Healthspan	$23 - $92	78%
Healthsmart Preferred	$26 - $104	88%
Ohio Health Choice Plus	$28 - $112	95%
Aetna	$31 - $125	105%
Summacare	$31 - $125	105%
UnitedHealthcare	$31 - $125	105%
Coventry	$39 - $159	132%
First Health	$39 - $159	132%
Buckeye	$40 - $65	135%
Molina	$40 - $65	135%
Ohio Health Choice	$44 - $179	149%
Private Healthare Systems	$46 - $185	155%
Amerihealth Caritas	$65	220%
Blue Cross Blue Shield	$65	220%
Caresource	$65	220%
Cigna	$68	230%

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 $108.
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 Southwest General Health 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.