CMS Price Transparency Data
Blood test, vitamin D
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 82306 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 82306
- Insurance Median: $46
- Cash Discount Price: $92
- vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Saint Alphonsus Medical Center Ontario is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.55x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$92
Average discount available for prompt cash payment at this facility.
Insurance Median
$46
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: $92 (311%)
Insurance Median: $46 (155%)
Cash: $92 (311% of Medicare)
Ins. Median: $46 (155% 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $21 - $46 | 71% |
| Blue Cross Blue Shield | $29 - $130 | 98% |
| Medicare (plans) | $29 - $31 | 98% |
| UnitedHealthcare | $29 - $147 | 98% |
| Aetna | $30 - $145 | 101% |
| American Health Advantage Of Idaho | $30 | 101% |
| Healthnet | $31 | 105% |
| Ada County Jail Inmate Ins | $39 - $46 | 132% |
| Ambetter / Centene | $39 - $46 | 132% |
| Amish Mennonite | $39 - $46 | 132% |
| Bcccp-Michigan | $39 - $46 | 132% |
| Bccp | $39 - $46 | 132% |
| Bmc Healthnet | $39 - $46 | 132% |
| Breast Grant-Connecticut | $39 - $46 | 132% |
| California Health And Wellness | $39 - $46 | 132% |
| Cardinal Innovations Lme | $39 - $46 | 132% |
| Care Oregon Ohp | $39 - $46 | 132% |
| Cencal Health Plan | $39 - $46 | 132% |
| Cenpatico | $39 - $46 | 132% |
| Centurion Of Idaho | $39 - $46 | 132% |
| Chhuny | $39 - $46 | 132% |
| Childrens Comm Health Plan | $39 - $46 | 132% |
| Childrens Medical Services Title 19 | $39 - $46 | 132% |
| Cigna | $39 - $144 | 132% |
| Community Benefit Health | $39 - $46 | 132% |
| Community Care Behavorial Health | $39 - $46 | 132% |
| Community Health Choice | $39 - $46 | 132% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $39 - $46 | 132% |
| Dean Wi Badgercare | $39 - $46 | 132% |
| Delaware First Health | $39 - $46 | 132% |
| Delta Dental Nj | $39 - $46 | 132% |
| Dph Tb Program | $39 - $46 | 132% |
| Dscc | $39 - $46 | 132% |
| Eastpointe Lme | $39 - $46 | 132% |
| Family Health Network | $39 - $46 | 132% |
| Freedom First Healthcare | $39 - $46 | 132% |
| Ghc Scw Wi Badgercare | $39 - $46 | 132% |
| Harbor Health | $39 - $46 | 132% |
| Health Safety Net | $39 - $46 | 132% |
| Healthy Blue Ne | $39 - $46 | 132% |
| Hennepin Health | $39 - $46 | 132% |
| Humana | $39 - $135 | 132% |
| Id County Ada | $39 - $46 | 132% |
| Id County Canyon | $39 - $46 | 132% |
| Id County Cat Fund | $39 - $46 | 132% |
| Id County Payette | $39 - $46 | 132% |
| Idaho Womens Health Check | $39 - $46 | 132% |
| Indiana Breast Cervical Cancer | $39 - $46 | 132% |
| Inland Empire Health Plan | $39 - $46 | 132% |
| Intercommunity Health Ohp | $39 - $46 | 132% |
| Iowa Total Care | $39 - $46 | 132% |
| Jai Medical System | $39 - $46 | 132% |
| Kern Family Health Plan | $39 - $46 | 132% |
| Keystone First | $39 - $46 | 132% |
| Keystone First Chip | $39 - $46 | 132% |
| La Care Health Plan | $39 - $46 | 132% |
| Lakeland Care Inc | $39 - $46 | 132% |
| Managed Health Services - Indiana | $39 - $46 | 132% |
| Maryland Breast & Cervical Program | $39 - $46 | 132% |
| Maryland Healthy Smiles - Scion Dental | $39 - $46 | 132% |
| Maryland Physicians Care | $39 - $46 | 132% |
| Massachusetts Behavioral Health Partnership | $39 - $46 | 132% |
| Mdwise | $39 - $46 | 132% |
| Medi-Cal | $39 - $46 | 132% |
| Medi-Cal Healthnet | $39 - $46 | 132% |
| Medstar Dc Healthy Family | $39 - $46 | 132% |
| Medstar Md Health Choice | $39 - $46 | 132% |
| Mo Home State Health Plan | $39 - $46 | 132% |
| Molina Centennial Care | $39 - $46 | 132% |
| Nascentia Health Options | $39 - $46 | 132% |
| Nebraska Total Care | $39 - $46 | 132% |
| New York Cancer Services Program | $39 - $46 | 132% |
| Nextlevel Health | $39 - $46 | 132% |
| Oregon Screenwise | $39 - $46 | 132% |
| Pace Of Southwest Michigan | $39 - $46 | 132% |
| Paramount Advantage | $39 - $46 | 132% |
| Parkland Community Health Plan | $39 - $46 | 132% |
| Partners Behavioral Lme | $39 - $46 | 132% |
| Peach State Healthplan | $39 - $46 | 132% |
| Presbyterian Centennial Care | $39 - $46 | 132% |
| Prestige Health Choice | $39 - $46 | 132% |
| Priority Partners | $39 - $46 | 132% |
| Rx 340B Pass Along | $39 - $46 | 132% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $39 - $46 | 132% |
| Rx Medi-Cal | $39 - $46 | 132% |
| Rx Meridian Rx | $39 - $46 | 132% |
| Sandhills Center Lme | $39 - $46 | 132% |
| Screening For Life | $39 - $46 | 132% |
| Sunshine State Health Plan | $39 - $46 | 132% |
| Superior Health | $39 - $46 | 132% |
| Tenncare | $39 - $46 | 132% |
| Texas Children'S Health Plan | $39 - $46 | 132% |
| Trillium Community Ohp | $39 - $46 | 132% |
| Tufts Health Public Plans | $39 - $46 | 132% |
| Vaya Health Lme | $39 - $46 | 132% |
| Wellsense Health Plan | $39 - $46 | 132% |
| Wi Womens Wellness | $39 - $46 | 132% |
| Healthcare Management Admin | $49 | 166% |
| Blue Benefit Administrators Of Massachusetts | $52 | 176% |
| Blue Care Network | $52 | 176% |
| Blue Distinction Transplant | $52 | 176% |
| Blue Shield - Ca | $52 | 176% |
| Blue Shield - Id (Regence) | $52 | 176% |
| Blue Shield - Ny Highmark Northeastern | $52 | 176% |
| Blue Shield - Ny Highmark Western | $52 | 176% |
| Blue Shield - Pa (Highmark) | $52 | 176% |
| Blue Shield - Wa (Regence) | $52 | 176% |
| Moda Health | $57 - $148 | 193% |
| Selecthealth | $72 - $138 | 243% |
| Mountain Health Co-Op | $77 - $92 | 260% |
| Pacificsource Health Plans | $77 - $144 | 260% |
| Webtpa | $78 - $138 | 264% |
| Allegiance | $98 - $116 | 331% |
| Correctional Health Partners | $101 - $119 | 341% |
| Columbia Health Network | $103 - $122 | 348% |
| Allied National Global Care | $116 - $138 | 392% |
| Asrm - Reliance Standard Life Insurance | $116 - $138 | 392% |
| Christian Care Ministry | $116 - $138 | 392% |
| Dean Health | $116 - $138 | 392% |
| Fallon Health | $116 - $138 | 392% |
| Family Life Insurance Company | $116 - $138 | 392% |
| First Choice Health | $116 - $138 | 392% |
| Ghc Scw | $116 - $138 | 392% |
| International Benefit Administrators | $116 - $138 | 392% |
| Lifetime Benefit Solutions | $116 - $138 | 392% |
| Manhattan Life | $116 - $138 | 392% |
| Pai | $116 - $138 | 392% |
| Pan-American Life | $116 - $138 | 392% |
| Paramount Hmo | $116 - $138 | 392% |
| Phcs | $116 - $138 | 392% |
| Trinity Health Share | $116 - $138 | 392% |
| Lifewise | $120 - $142 | 405% |
| Priority Health | $121 - $144 | 409% |
| Allied Benefit Systems | $122 - $145 | 412% |
| Ameriben | $122 - $145 | 412% |
| Asr Health Benefits | $122 - $145 | 412% |
| Christian Brother Services | $122 - $145 | 412% |
| Geha | $122 - $147 | 412% |
| Healthez | $122 - $145 | 412% |
| Luminare Health (Detroit) | $122 - $145 | 412% |
| Rural Carrier Health Benefit Plan | $122 - $145 | 412% |
| First Health | $123 - $145 | 416% |
| Medi Share | $123 - $145 | 416% |
| Providence | $123 - $145 | 416% |