CMS Price Transparency Data

Blood test, vitamin D

Facility: Adventist Health Portland

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $70
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 2.36x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Adventist Health Portland is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.36x the Medicare baseline. Located in 10123 Se Market Street, Portland, OR.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $62 (209%)
Insurance Median: $70 (236%)
Cash: $62 (209% of Medicare)
Ins. Median: $70 (236% 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 236% of the Medicare baseline (a markup of 136%). 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
Ods - All Plans $24 81%
Care Oregon - All Plans $25 84%
Humana $30 - $31 101%
Kaiser Mcr Adv $30 101%
Moda Mcr Adv $31 105%
UnitedHealthcare $31 - $292 105%
Healthnet Mcr Adv $34 115%
Healthcare Resources - All Plans $44 149%
Ah Employee Health Plan - All Plans $53 179%
Aetna $58 196%
Healthnet Epo/Pos/Ppo $58 196%
Healthnet Hmo/Pos - All Other Plans $58 196%
Pacific Source Comm - All Plans $58 196%
Providence Hp - All Plans $58 196%
Moda Conn Oebb/Syn Pebb $59 199%
Workers Comp $67 226%
Moda Affinity - All Other Plans $68 230%
Cigna $70 236%
Regence Ohsu Plus $74 250%
Kaiser - All Other Plans $77 260%
Regence - All Other Plans $82 277%
Moda Select $93 314%
Bc Premera First - All Plans $98 331%
Moda Connexus $105 355%
Moda Synergy $111 375%
Worldventure - All Plans $117 395%
Regence Preferred Mcr Adv $127 429%
First Choice - All Plans $135 456%
Multiplan - All Plans $146 493%
Phcs - All Plans $146 493%
Regence Mcr Adv $148 500%
First Health-Coventry - All Plans $156 527%
National Provider Network - All Plans $172 581%
Health Payors Organization Ltd- All Plans $176 595%
Moda Ohsu Ppo/Epo/Hmc $351 1186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10123 Se Market Street, Portland, OR 97216
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals