CMS Price Transparency Data

Blood test, vitamin D

Facility: UPMC McKeesport Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $170
  • Cash Discount Price: $265
  • vs. Medicare Baseline: 5.74x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at UPMC McKeesport Hospital is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $265. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.74x the Medicare baseline. Located in 1500 Fifth Avenue, Mc Keesport, PA.
Cash / Self-Pay
$265

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $265 (895%)
Insurance Median: $170 (574%)
Cash: $265 (895% of Medicare)
Ins. Median: $170 (574% 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 574% of the Medicare baseline (a markup of 474%). 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
Upmc Health Plan $27 - $174 91%
Upmc Work Partners $29 98%
Geisinger $30 101%
Aetna $31 - $177 105%
Amerihealth Caritas $32 - $64 108%
Highmark Wholecare (Prev Gateway) $32 - $61 108%
Pa Health & Wellness $32 - $70 108%
UnitedHealthcare $45 152%
Blue Cross Blue Shield $58 - $292 196%
Cigna $170 - $265 574%
Intergroup $221 747%
Coventry/First Health $309 1044%
Private Health Care Systems $354 1196%
Selectcare $354 1196%
Humana $376 1270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 Fifth Avenue, Mc Keesport, PA 15132
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals