CMS Price Transparency Data

Blood test, vitamin D

Facility: Nationwide Children's Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $86
Cash Discount Price: $136
vs. Medicare Baseline: 2.91x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Nationwide Children's Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.91x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $136 (459%)

Insurance Median: $86 (291%)

Cash: $136 (459% of Medicare)

Ins. Median: $86 (291% 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 291% of the Medicare baseline (a markup of 191%). 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
Amerihealth	$32	108%
Bchp	$32	108%
Blue Cross Blue Shield	$32 - $201	108%
Caresource	$32 - $101	108%
Humana	$32 - $203	108%
Molina	$32	108%
UnitedHealthcare	$32 - $203	108%
Mmo	$76 - $184	257%
Aetna	$79 - $203	267%
Ohg	$79 - $193	267%
Ohio Ppo Connect	$80 - $199	270%
Osu	$80 - $199	270%
Ohc	$82 - $199	277%
Ahpo	$83 - $201	280%
Cigna	$83 - $201	280%
Front Path Health Coalition	$83 - $201	280%
The Health Plan	$84 - $205	284%
Unicare	$84 - $203	284%
Emerald Health	$86 - $210	291%
First Health	$86 - $210	291%
Phcs	$86 - $210	291%

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 $136.
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 Nationwide Children's 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.