CMS Price Transparency Data

Blood test, vitamin D

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $62
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 2.09x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Independence Health System Butler Memorial Hospita is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.09x the Medicare baseline. Located in One Hospital Way, Butler, PA.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $146 (493%)
Insurance Median: $62 (209%)
Cash: $146 (493% of Medicare)
Ins. Median: $62 (209% 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 209% of the Medicare baseline (a markup of 109%). 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
Martin'S Point - Usfhp $27 - $73 91%
Tricare $27 91%
Highmark $29 - $62 98%
Aetna $30 - $166 101%
Gateway $30 - $218 101%
Geisinger $30 - $208 101%
Jefferson Health Plan $30 101%
Life Butler County $30 101%
Medicare (plans) $30 101%
Peak Health $30 - $146 101%
Provider Partners $30 101%
UnitedHealthcare $30 - $41 101%
Upmc $30 - $218 101%
Amerihealth $31 - $45 105%
Devoted Health Plan $31 - $83 105%
Humana $31 105%
The Health Plan $31 - $70 105%
Pa Health & Wellness $32 108%
American Health Plan $33 111%
Pnoa $33 - $166 111%
Highmark - Ind.& Managed Care $39 - $69 132%
Highmark Aca - Direct Blue $39 132%
Highmark Community Blue $39 - $61 132%
Medicaid / KanCare $41 139%
Cigna $44 - $104 149%
Ellwood Group $59 - $89 199%
Ccbh - Behavioral Health $104 - $128 351%
Workers Comp $118 399%
Private Healthcare Systems $146 - $177 493%
Devon $156 527%
Intergroup $166 561%
Multiplan $187 632%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Way, Butler, PA 16001
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals