CMS Price Transparency Data

Blood test, vitamin D

Facility: Children's Hospital of Philadelphia

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $93
Cash Discount Price: $403
vs. Medicare Baseline: 3.14x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Children's Hospital of Philadelphia is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $403. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.14x the Medicare baseline. Located in 3401 Civic Center Blvd, Philadelphia, PA.

Cash / Self-Pay

$403

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $403 (1361%)

Insurance Median: $93 (314%)

Cash: $403 (1361% of Medicare)

Ins. Median: $93 (314% 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 314% of the Medicare baseline (a markup of 214%). 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
Medicaid / KanCare	$17 - $116	57%
UnitedHealthcare	$17 - $386	57%
Health Partners	$20 - $132	68%
Aetna	$24 - $351	81%
Upmc Medical Assistance	$28 - $192	95%
Keystone First Chip	$32 - $217	108%
Keystone Health Plan East	$33 - $222	111%
Blue Cross Blue Shield	$37 - $281	125%
Geisinger Health Plan Commercial	$46 - $309	155%
Jefferson Health Plans	$49 - $332	166%
Cigna	$52 - $351	176%
Highmark	$52 - $351	176%
Geisinger Medical Assistance	$55	186%
Qualcare	$57 - $386	193%
Highmark Wholecare	$61	206%
First Health Network	$67 - $456	226%
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics	$83 - $561	280%
Private Health Care Systems	$83 - $561	280%
Choice Care Network	$93 - $631	314%
Horizon Nj Health	$108	365%

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 $403.
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 Children's Hospital of Philadelphia 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.