CMS Price Transparency Data

Blood test, vitamin D

Facility: Adena Pike Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $106
Cash Discount Price: $71
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Adena Pike Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.58x the Medicare baseline. Located in 100 Dawn Lane, Waverly, OH.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $71 (240%)

Insurance Median: $106 (358%)

Cash: $71 (240% of Medicare)

Ins. Median: $106 (358% 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 358% of the Medicare baseline (a markup of 258%). 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	$34 - $213	115%
Blue Cross Blue Shield	$34 - $122	115%
Buckeye Community Health Plan	$34	115%
Humana	$34 - $134	115%
Medical Mutual Of Ohio	$34 - $90	115%
Medigold	$34	115%
Molina	$34	115%
Care Source	$35	118%
Gateway Health	$47	159%
Molina Marketplace	$56	189%
Care Source Just4Me	$61	206%
UnitedHealthcare	$80	270%
Sidecar Health	$93	314%
Ohio Ppo Connect	$99	334%
The Health Plan	$99	334%
Cigna	$102	345%
Medical Mutual Of Ohio Supermed	$106	358%
First Health	$111 - $213	375%
Ohio Health Choice	$112	378%
Integrated Health Plan	$133	449%
Healthsmart	$134	453%
Multiplan/Private Healthcare Systems	$134	453%
Three Rivers Network	$134	453%

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 $71.
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 Adena Pike 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.