CMS Price Transparency Data

Blood test, vitamin D

Facility: Hospital Metropolitano Dr Susoni

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $65
  • Cash Discount Price: $130
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Hospital Metropolitano Dr Susoni is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.20x the Medicare baseline. Located in Calle Palma Num 55, Arecibo, PR.
Cash / Self-Pay
$130

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: $130 (439%)
Insurance Median: $65 (220%)
Cash: $130 (439% 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
Triple S $37 - $65 125%
Aetna $41 139%
Mcs $41 - $90 139%
Tricare $41 139%
Humana $42 - $115 142%
Medicare (plans) $42 142%
Mso $42 142%
Prossam $49 166%
Aarp $65 220%
Bl $65 220%
First Medical $65 220%
Hospicio $65 220%
Plan De Salud Menonita $65 220%
Mc $90 304%
Cigna $97 328%
Mapfre $120 405%
Ch $150 507%
Comerciales $150 507%
Va $150 507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Calle Palma Num 55, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals