CMS Price Transparency Data

Blood test, vitamin D

Facility: Pennsylvania Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $272
  • Cash Discount Price: $791
  • vs. Medicare Baseline: 9.19x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Pennsylvania Hospital is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $791. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 9.19x the Medicare baseline. Located in 800 Spruce Street, Philadelphia, PA.
Cash / Self-Pay
$791

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

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: $791 (2672%)
Insurance Median: $272 (919%)
Cash: $791 (2672% of Medicare)
Ins. Median: $272 (919% 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 919% of the Medicare baseline (a markup of 819%). 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 - $268 61%
Blue Cross Blue Shield $30 - $791 101%
Geisinger Health Plan $30 - $94 101%
Health Partners $30 - $791 101%
Humana $30 - $633 101%
Ibc $30 101%
Medicare (plans) $30 101%
Philadelphia Va Medical Center $30 101%
Upmc $30 - $791 101%
Aetna $31 - $791 105%
Pa Health And Wellness $31 - $49 105%
Penn Life (Living Independently For Elders) $31 105%
UnitedHealthcare $31 - $791 105%
Clover Health Plan $32 108%
Tricare $32 108%
Us Family Health Plan $32 108%
Keystone First $33 111%
Gateway Health Plan $37 - $41 125%
Medicaid / KanCare $41 - $791 139%
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 $52 176%
Centivo $53 179%
Elap Services $55 186%
Highmark $62 209%
Penn Global Medicine $78 264%
Horizon Nj Health $134 - $139 453%
Pgm - Regie De L'Assurance Maladie Quebec $182 615%
Preferred Health Care Eliance $206 696%
Pgm - Kuwait Defense $277 - $356 936%
Devon $301 - $356 1017%
Qualcare $301 1017%
Coventry $316 - $403 1068%
Pgm - Chop $316 1068%
Wissahickon Hospice $316 1068%
Healthamerica/Coventry $356 - $388 1203%
Olympus $384 1297%
First Health Global $396 1338%
Urn-Cancer Resource Services $396 1338%
Health Net $475 1605%
Pgm - Royal Embassy Of Saudi Arabia $475 1605%
Pgm - Embassy Of Qatar $514 1736%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $514 1736%
Pgm - Embassy Of The United Emirates/Ipc $554 1872%
Devon Health Services Inc $633 2139%
Health America/Ccn $633 2139%
Intergroup $633 2139%
Pgm - Kuwait Health Division $633 2139%
Pgm - Kuwait Oil $633 2139%
Preferred Care $633 2139%
Commercial Other $791 2672%
Community Behavioral Health $791 2672%
International Pfs $791 2672%
Quest Behavioral Health $791 2672%
United Behavioral Health $791 2672%
Workers Compensation $791 2672%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Spruce Street, Philadelphia, PA 19107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals