CMS Price Transparency Data

Blood test, vitamin D

Facility: Pawhuska Hospital, Inc

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $145
Cash Discount Price: $108
vs. Medicare Baseline: 4.90x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Pawhuska Hospital, Inc is $145. 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 4.90x the Medicare baseline. Located in 1101 East 15Th Street, Pawhuska, OK.

Cash / Self-Pay

$108

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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: $145 (490%)

Cash: $108 (365% of Medicare)

Ins. Median: $145 (490% 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 490% of the Medicare baseline (a markup of 390%). 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
Healthchoice Ip/Op Only - All Plans	$49	166%
UnitedHealthcare	$52 - $143	176%
Community Care Comm - All Plans	$74	250%
Blue Cross Blue Shield	$91 - $168	307%
Aetna	$101 - $198	341%
Tricare	$101 - $115	341%
Wellcare Mcr Adv - All Plans	$101 - $115	341%
Humana	$102 - $198	345%
Healthcare Highways - All Plans	$113 - $129	382%
Cigna	$118 - $135	399%
Multiplan - All Plans	$130 - $148	439%
Ambetter / Centene	$151 - $172	510%
Preferred Commchoice Ip/Op Only - All Plans	$157 - $178	530%
Soonerselect Mcaid - All Plans	$174 - $198	588%

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 Pawhuska Hospital, Inc 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.