CMS Price Transparency Data

Blood test, vitamin D

Facility: Penn Presbyterian Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $127
  • Cash Discount Price: $318
  • vs. Medicare Baseline: 4.29x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Penn Presbyterian Medical Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.29x the Medicare baseline. Located in 51 North 39Th Street, Philadelphia, PA.
Cash / Self-Pay
$318

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $318 (1074%)
Insurance Median: $127 (429%)
Cash: $318 (1074% of Medicare)
Ins. Median: $127 (429% 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 429% of the Medicare baseline (a markup of 329%). 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
Cigna $18 - $101 61%
Blue Cross Blue Shield $30 - $318 101%
Geisinger Health Plan $30 - $94 101%
Health Partners $30 - $318 101%
Humana $30 - $254 101%
Ibc $30 101%
Medicare (plans) $30 101%
Philadelphia Va Medical Center $30 101%
Upmc $30 - $318 101%
Aetna $31 - $318 105%
Pa Health And Wellness $31 - $49 105%
Penn Life (Living Independently For Elders) $31 105%
UnitedHealthcare $31 - $318 105%
Clover Health Plan $32 108%
Tricare $32 108%
Us Family Health Plan $32 108%
Keystone First $33 111%
Gateway Health Plan $37 125%
Medicaid / KanCare $41 - $318 139%
Pa Medical Assistance $41 139%
Elap $42 142%
Claims Watcher $47 - $53 159%
Oscar Health Plan $50 169%
Ibc Commercial Hpn $51 172%
Keystone Hmo Proactive $52 176%
Keystone Mercy Health Plan $52 - $318 176%
Centivo $53 179%
Horizon Nj Health $54 - $56 182%
Elap Services $55 186%
Highmark $62 209%
Pgm - Regie De L'Assurance Maladie Quebec $73 247%
Penn Global Medicine $78 264%
Preferred Health Care Eliance $80 270%
Pgm - Kuwait Defense $111 - $143 375%
Devon $121 - $143 409%
Qualcare $121 409%
Coventry $127 - $162 429%
Pgm - Chop $127 429%
Wissahickon Hospice $127 429%
Healthamerica/Coventry $143 - $156 483%
Olympus $151 510%
First Health Global $159 537%
Urn-Cancer Resource Services $159 537%
Health Net $191 645%
Pgm - Royal Embassy Of Saudi Arabia $191 645%
Pgm - Embassy Of Qatar $207 699%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $207 699%
Pgm - Embassy Of The United Emirates/Ipc $223 753%
Devon Health Services Inc $254 858%
Health America/Ccn $254 858%
Intergroup $254 858%
Pgm - Kuwait Health Division $254 858%
Pgm - Kuwait Oil $254 858%
Preferred Care $254 858%
Commercial Other $318 1074%
International Pfs $318 1074%
Magellan $318 1074%
Quest Behavioral Health $318 1074%
United Behavioral Health $318 1074%
Workers Compensation $318 1074%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals