CMS Price Transparency Data

Blood test, vitamin D

Facility: Hospital Pavia Hato Rey, Inc

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $62
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 2.09x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Hospital Pavia Hato Rey, Inc is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.09x the Medicare baseline. Located in Ave Ponce De Leon 435, Hato Rey, PR.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $85 (287%)
Insurance Median: $62 (209%)
Cash: $85 (287% of Medicare)
Ins. Median: $62 (209% 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 209% of the Medicare baseline (a markup of 109%). 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
Mso $26 - $36 88%
First Medical $28 - $73 95%
Plan De Salud Menonita $28 - $65 95%
Triple S $32 - $58 108%
Medicare (plans) $35 118%
Va $36 122%
Fondo Del Seguro Estado $37 125%
Tricare $37 125%
UnitedHealthcare $40 135%
Ch $41 139%
Prossam $54 182%
Aarp $65 220%
Auxilio Salud Plus $65 220%
Bl $65 220%
Humana $65 - $87 220%
Mcs $72 - $81 243%
Bella Vista $88 297%
Mc $90 304%
Cigna $97 328%
Mapfre $120 405%
Privado $130 439%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Ave Ponce De Leon 435, Hato Rey, PR 00919
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals