CMS Price Transparency Data

Blood test, vitamin D

Facility: Lodi Community Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $102
Cash Discount Price: $125
vs. Medicare Baseline: 3.45x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Lodi Community Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.45x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.

Cash / Self-Pay

$125

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $125 (422%)

Insurance Median: $102 (345%)

Cash: $125 (422% of Medicare)

Ins. Median: $102 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
UnitedHealthcare	$24 - $119	81%
Buckeye	$26	88%
Caresource	$26	88%
Blue Cross Blue Shield	$27 - $144	91%
Molina	$27	91%
United	$27 - $137	91%
Amerihealth	$28	95%
Mmo	$38 - $103	128%
Humana	$58	196%
Oscar	$58 - $74	196%
Summacare	$58 - $118	196%
Aetna	$65 - $192	220%
The Health Plan	$77 - $154	260%
Amish Community Aid Plan	$86 - $96	291%
Ohcp	$93	314%
Aultcare	$96	324%
Omas	$96	324%
Ohio Healthy	$104	351%
Php	$115	389%
Phphi	$115	389%
Upmc	$115	389%
Cigna	$124	419%
Cc Ehp	$129	436%
Gms	$134	453%
Medical Benefit Corp	$134	453%
Consociate Health	$144	486%
Frontpath	$173	584%
Managed Care Services	$173	584%
Multiplan	$173	584%
Tertiary Care Network	$173	584%

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 $125.
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 Lodi Community 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.