CMS Price Transparency Data

Blood test, vitamin D

Facility: Indiana Regional Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $41
Cash Discount Price: $85
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Indiana Regional Medical Center is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.39x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $85 (287%)

Insurance Median: $41 (139%)

Cash: $85 (287% of Medicare)

Ins. Median: $41 (139% 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
Highmark	$19 - $93	64%
Highmark Wholecare	$20 - $31	68%
Tricare	$27 - $235	91%
Aetna	$29 - $91	98%
Humana	$29	98%
Ambetter / Centene	$30 - $55	101%
Amerihealth Caritas	$30 - $54	101%
Cigna	$30 - $93	101%
Geisinger Health Plan	$30 - $54	101%
Medicare (plans)	$30	101%
United Mine Workers Of America	$30	101%
UnitedHealthcare	$30 - $94	101%
Upmc Health Plan	$31 - $225	105%
Geisinger	$41 - $83	139%
Pa Health And Wellness Commercial	$41 - $83	139%
Department Of Human Services And Torrance State Hospital	$148	500%
Premier Comp Solutions, Llc	$212	716%
Miscellaneous Commercial	$235	794%
Pa Workers Compensation	$235	794%

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 $85.
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 Indiana Regional Medical Center 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.