CMS Price Transparency Data

Blood test, vitamin D

Facility: Mercy Hospital Watonga, Inc

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $130
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 4.39x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Mercy Hospital Watonga, Inc is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.39x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$130

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: $151 (510%)
Insurance Median: $130 (439%)
Cash: $151 (510% of Medicare)
Ins. Median: $130 (439% 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 439% of the Medicare baseline (a markup of 339%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $26 - $177 88%
Humana $26 - $89 88%
Medicaid / KanCare $26 - $70 88%
Health Choice Contracted [320166] $40 135%
Blue Cross Blue Shield $67 - $93 226%
Ambetter / Centene $70 236%
Home State Health Plan Contracted [320187] $70 236%
Novasys Contracted [320285] $70 236%
Cherokee Nation Health Serv Contracted [320066] $89 301%
Cross Timbers Hospice [20098] $89 301%
Dept Of Veteran Affairs Contracted [320106] $89 301%
Elara Caring Aspire Hospice Contracted [320433] $89 301%
Elara Caring Aspire Hospice [20433] $89 301%
Halo Hcr Inc Hospice Contracted [320432] $89 301%
Halo Hcr Inc Hospice [20432] $89 301%
Independent Health [20197] $89 301%
Indian Health Service Contracted [320198] $89 301%
Kindful Hospice Contracted [320434] $89 301%
Kindful Hospice [20434] $89 301%
Medical Associates Health [20444] $89 301%
Medicare (plans) $89 - $130 301%
Mercy Hospice Okc [20252] $89 301%
Provider Partners Health Plans Contracted [320450] $89 301%
Qual Choice Contracted [320325] $89 301%
Tribute Health Plan Mcr Contracted [320338] $89 301%
Tricare $89 301%
UnitedHealthcare $89 - $184 301%
Cigna $91 - $197 307%
Globalhealth Contracted [320145] $91 307%
Webtpa Contracted [320417] $97 328%
Medica Contracted [320239] $130 439%
Aither Health Contracted [320449] $139 - $197 470%
Mercy Benefit Admin Contracted [320251] $139 - $197 470%
Quik Trip Contracted [320447] $139 470%
Show-Me Health Administrators Contracted [320483] $139 470%
Benefit Management Contracted [320052] $151 - $174 510%
Healthsmart Accel Contracted [320183] $162 547%
Osma Health Contracted [320292] $162 547%
Healthcare Highways Plus Contracted [320175] $174 588%
Preferred Community Choice Contracted [320311] $174 588%
Private Health Care Systems Contracted [320320] $174 - $186 588%
United Medical Resources Contracted [320454] $184 622%
Multiplan Contracted [320270] $186 - $209 628%
First Health Contracted [320128] $188 635%
Auxiant Contracted [320462] $197 666%
Ebms Contracted [320493] $197 666%
Healthlink Contracted [320179] $197 666%
Healthsmart Preferred Care Contracted [320184] $197 666%
Imagine 360 Contracted [320494] $197 666%
Reflect Health Contracted [320492] $197 666%
Yuzu Health Contracted [320521] $197 666%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 North Clarence Nash Boulevard, Watonga, OK 73772
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals