CMS Price Transparency Data

Blood test, vitamin D

Facility: Bay Area Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $110
Cash Discount Price: $103
vs. Medicare Baseline: 3.72x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Bay Area Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.72x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $103 (348%)

Insurance Median: $110 (372%)

Cash: $103 (348% of Medicare)

Ins. Median: $110 (372% 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 372% of the Medicare baseline (a markup of 272%). 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
Southwest Oregon Ipa - All Plans	$25	84%
Healthnet Mcaid	$30	101%
Healthnet Mcr Adv	$32	108%
Moda Hlth Mcr Adv	$33	111%
Aetna	$35 - $46	118%
Nasomah Hlth Grp - All Plans	$71 - $94	240%
Moda Beacon - All Other Plans	$80	270%
Pacificsource - All Plans	$100 - $133	338%
Moda Connexus/Synergy	$105 - $140	355%
First Choice - All Plans	$107 - $143	361%
Cigna	$109 - $144	368%
Providence - All Other Plans	$110 - $146	372%
Healthnet Comm- All Other Plans	$112 - $149	378%
UnitedHealthcare	$112 - $149	378%
Providence Pebb	$114	385%
Ods Ppo/Pos - All Plans	$115	389%
Blue Cross Blue Shield	$423 - $562	1429%

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 $103.
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 Bay Area Hospital 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.