CMS Price Transparency Data

Blood test, vitamin D

Facility: Alliancehealth Madill

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $156
  • Cash Discount Price: $266
  • vs. Medicare Baseline: 5.27x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Alliancehealth Madill is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.27x the Medicare baseline. Located in 901 S 5Th Ave, Madill, OK.
Cash / Self-Pay
$266

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $266 (899%)
Insurance Median: $156 (527%)
Cash: $266 (899% of Medicare)
Ins. Median: $156 (527% 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 527% of the Medicare baseline (a markup of 427%). 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
Preferred Community Choice Ppo $4 - $122 14%
Blue Cross Blue Shield $5 - $172 17%
Humana $6 - $167 20%
Medicare (plans) $6 - $167 20%
Node Champva $6 - $176 20%
Node Global Health Mcr Adv $6 - $167 20%
Node Indian Health Service Managed Care $6 - $171 20%
Node Va $6 - $392 20%
Tricare $6 - $176 20%
UnitedHealthcare $6 - $171 20%
Self Pay $10 - $284 34%
Coventry $15 - $406 51%
Globalhealth $18 - $503 61%
Healthcare Highways $18 - $508 61%
Phcs $21 - $568 71%
Multiplan $22 - $633 74%
Aetna $24 - $650 81%
First Health $24 - $666 81%
Cigna $25 - $690 84%
Evolutions Healthcare Systems $25 - $690 84%
Medicaid / KanCare $26 88%
Node Us Dept Of Labor $37 125%
Healthchoice $40 135%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 S 5Th Ave, Madill, OK 73446
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals