CMS Price Transparency Data

Blood test, vitamin D

Facility: UPMC Altoona

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $57
Cash Discount Price: $272
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at UPMC Altoona is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.93x the Medicare baseline. Located in 620 Howard Avenue, Altoona, PA.

Cash / Self-Pay

$272

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $272 (919%)

Insurance Median: $57 (193%)

Cash: $272 (919% of Medicare)

Ins. Median: $57 (193% 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

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
Upmc Work Partners	$29	98%
Upmc Health Plan	$30 - $190	101%
Amerihealth Caritas	$32 - $64	108%
Cigna	$32 - $226	108%
Highmark Wholecare (Prev Gateway)	$32 - $61	108%
Pa Health & Wellness	$32 - $70	108%
UnitedHealthcare	$32 - $232	108%
Aetna	$41 - $240	139%
Cbhnp	$41	139%
Health Partners Plans (Jefferson Health Plan)	$41	139%
Blue Cross Blue Shield	$57	193%
Geisinger	$57 - $249	193%
Preferred Healthcare System	$226	764%
Private Health Care Systems	$362	1223%

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 $272.
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 UPMC Altoona 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.