CMS Price Transparency Data

Blood test, vitamin D

Facility: UPMC Wellsboro

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $240
Cash Discount Price: $262
vs. Medicare Baseline: 8.11x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at UPMC Wellsboro is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 8.11x the Medicare baseline. Located in 32-36 Central Avenue, Wellsboro, PA.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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: $262 (885%)

Insurance Median: $240 (811%)

Cash: $262 (885% of Medicare)

Ins. Median: $240 (811% 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 811% of the Medicare baseline (a markup of 711%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Upmc Work Partners	$29	98%
Amerihealth Caritas	$41	139%
Geisinger	$45 - $253	152%
Upmc Health Plan	$45 - $165	152%
Highmark Wholecare (Prev Gateway)	$46 - $76	155%
UnitedHealthcare	$52 - $321	176%
Aetna	$59 - $326	199%
Health Partners Plans (Jefferson Health Plan)	$62	209%
Blue Cross Blue Shield	$65 - $191	220%
Cigna	$69 - $79	233%
Pa Health & Wellness	$70 - $82	236%
Wirerope Works	$182 - $210	615%
Multiplan	$255 - $359	861%
America'S Choice	$294 - $340	993%
Intergroup	$294 - $340	993%

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 $262.
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 UPMC Wellsboro 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.