CMS Price Transparency Data

Blood test, vitamin D

Facility: Lancaster General Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $128
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 4.32x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Lancaster General Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.32x the Medicare baseline. Located in 555 North Duke Street, Lancaster, PA.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $211 (713%)
Insurance Median: $128 (432%)
Cash: $211 (713% of Medicare)
Ins. Median: $128 (432% 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 432% of the Medicare baseline (a markup of 332%). 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
Tricare $25 84%
Highmark $29 - $214 98%
Aetna $30 - $129 101%
Albright Life $30 101%
Amerihealth Caritas $30 - $41 101%
Blue Cross Blue Shield $30 - $182 101%
Cigna $30 - $179 101%
Coatesville Va $30 101%
Health Partners Mcr Advantage $30 101%
Hospice Generic $30 101%
Lebanon Veterans Hospital $30 101%
Medicare (plans) $30 - $33 101%
UnitedHealthcare $30 - $182 101%
Devoted Health $31 105%
Pa Health And Wellness Mcr $31 105%
Hospice And Community Care $40 - $41 135%
Lancaster County Mh $41 139%
Medicaid / KanCare $41 - $68 139%
Elap Employees $42 142%
Gateway $48 162%
Old Order Group $56 - $68 189%
Oscar Health Plan $58 196%
Lg Coresource/Lg Eliance $59 - $61 199%
Lancashire Hall $62 - $214 209%
Nursing Home Op Services $62 - $64 209%
Highmark Commercial Preferred $65 - $214 220%
Upmc For You $70 236%
Affilia Home Health $83 - $214 280%
Masonic Homes $87 - $214 294%
Claim Watcher Plus $89 301%
Eliance Health Solutions $94 - $137 318%
Claim Watcher $98 331%
Highmark Commercial Non-Preferred $99 - $214 334%
Elap Other Groups $108 365%
Preferred Healthcare $125 - $182 422%
Ehp $171 - $175 578%
Upmc Commercial $171 - $182 578%
Devon $177 - $182 598%
Geisinger Commercial $177 - $182 598%
Intergroup Services $177 - $182 598%
Medi-Share Christian Care $198 - $203 669%
Commercial Generic $208 - $214 703%
Magellan $208 - $214 703%
United Behavioral Health $208 - $214 703%
Value Options $208 - $214 703%
Workers Compensation $208 - $214 703%
Gift Of Life Donor Program $13,500 45608%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 North Duke Street, Lancaster, PA 17602
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals