CMS Price Transparency Data

Blood test, vitamin D

Facility: Penn State Health St. Joseph

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $49
Cash Discount Price: $50
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Penn State Health St. Joseph is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.66x the Medicare baseline. Located in 2500 Bernville Road, Reading, PA.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $50 (169%)

Insurance Median: $49 (166%)

Cash: $50 (169% of Medicare)

Ins. Median: $49 (166% 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
[Amerihealth Caritas]	$25 - $30	84%
[Highmark Wholecare]	$25 - $30	84%
[Geisinger]	$27 - $139	91%
[Health Partners Plans]	$28 - $30	95%
[Pa Health & Wellness]	$28 - $30	95%
[Highmark]	$29 - $112	98%
Aetna	$30 - $98	101%
Humana	$30	101%
UnitedHealthcare	$30 - $130	101%
[Cbc]	$30 - $101	101%
[Healthspring]	$30	101%
[Ibc]	$30 - $95	101%
[Upmc]	$30 - $142	101%
[Point Comfort Underwriters]	$37	125%
Cigna	$86 - $118	291%
[Highmark Choice Blue]	$89	301%
[Highmark Aca]	$94	318%
[Preferred Healthcare Systems]	$144	486%
[First Health]	$154	520%
[Multiplan]	$154	520%

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 $50.
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 Penn State Health St. Joseph 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.