CMS Price Transparency Data

Blood test, vitamin D

Facility: Punxsutawney Area Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $31
Cash Discount Price: $81
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Punxsutawney Area Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.05x the Medicare baseline. Located in 81 Hillcrest Drive, Punxsutawney, PA.

Cash / Self-Pay

$81

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $81 (274%)

Insurance Median: $31 (105%)

Cash: $81 (274% of Medicare)

Ins. Median: $31 (105% 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
UnitedHealthcare	$12 - $84	41%
Cigna	$14 - $125	47%
Highmark Wholecare	$18 - $45	61%
Highmark	$19 - $79	64%
Tricare	$25	84%
Aetna	$29 - $65	98%
Amerihealth Caritas	$29 - $41	98%
Humana	$29	98%
Geisinger Health Plan	$30 - $54	101%
United Mine Workers Of America	$30	101%
Upmc Health Plan	$30 - $154	101%
Ambetter / Centene	$31 - $55	105%
Pa Health And Wellness Commercial	$37 - $59	125%
Geisinger	$41 - $83	139%
Pa Workers Compensation	$211	713%

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 $81.
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 Punxsutawney Area Hospital 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.