CMS Price Transparency Data

Blood test, vitamin D

Facility: Hospital Metropolitano Dr Pila

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $65
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Hospital Metropolitano Dr Pila is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.20x the Medicare baseline. Located in 2435 Boulevard Luis A Ferre, Ponce, PR.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $25 (84%)
Insurance Median: $65 (220%)
Cash: $25 (84% of Medicare)
Ins. Median: $65 (220% 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 220% of the Medicare baseline (a markup of 120%). 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
First Medical $28 - $65 95%
Mso $28 - $35 95%
Privado $28 95%
Triple S $32 - $58 108%
Ch $41 139%
Humana $41 - $65 139%
Mcs $41 - $81 139%
Medicare (plans) $41 139%
Tricare $41 139%
Va $41 139%
Plan De Salud Menonita $47 - $65 159%
Prossam $54 182%
Aarp $65 220%
Auxilio Mutuo $65 220%
Bl $65 220%
Hospicio $78 264%
Mc $90 304%
Cigna $97 328%
Comerciales $110 372%
Life Link $110 372%
Wellcare $110 372%
Mapfre $120 405%
Fondo Del Seguro Estado $145 490%
Salud Correccional $150 507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2435 Boulevard Luis A Ferre, Ponce, PR 00717
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals