CMS Price Transparency Data

Blood test, vitamin D

Facility: Prisma Health Hillcrest Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $38
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Prisma Health Hillcrest Hospital is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.28x the Medicare baseline. Located in 741 South East Main Street, Simpsonville, SC.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $146 (493%)
Insurance Median: $38 (128%)
Cash: $146 (493% of Medicare)
Ins. Median: $38 (128% 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.

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
Tricare $25 84%
Golden Rule Insurance Company [2991] $27 91%
Oxford Health Plans [2992] $27 91%
UnitedHealthcare $27 - $37 91%
Zzumr-Salt Lake City Ut [3169] $27 91%
Blue Cross Blue Shield $30 - $103 101%
Champva [3049] $30 101%
Cigna $30 - $169 101%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $30 101%
Deseret Mutual Ins Co [3066] $30 101%
Generic Skilled Nursing [3196] $30 101%
Hospice Contracted [1500] $30 101%
Hospice Non Contracted [3190] $30 101%
Humana $30 - $41 101%
Medicare (plans) $30 - $38 101%
Triwest Healthcare Alliance Vcp [902] $30 101%
Va Community Care Network-Vaccn [903] $30 101%
Veterans Administration [3194] $30 101%
Aetna $31 - $177 105%
Healthy Conn Prime-First Choice Vip Care [5300] $31 105%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $31 105%
Healthy Conn Prime-Molina Healthcare [5330] $33 111%
Medicaid / KanCare $37 - $40 125%
First Choice Benefits Mgmt [3074] $38 128%
Workers Comp [600] $41 139%
Prisma Health Seniorcare Pace - Midlands [5400] $52 176%
Prisma Health Seniorcare Pace-Upstate [5200] $52 176%
Ambetter / Centene $54 182%
Bluechoice [810] $67 - $109 226%
Sc Dept Of Corrections [2998] $77 260%
Scdc-Sc Dept Of Corrections [7232] $77 260%
Promise Health Plan Contracted [2401] $78 - $134 264%
Orangeburg Senior Helping Center Pace [5401] $90 304%
Planned Administrators [820] $103 348%
Bob Jones Univ-Pai [821] $134 453%
Meritain Health Contracted [2200] $143 - $177 483%
Preferred Administrators Contracted [2839] $157 530%
Medcost [2940] $166 - $186 561%
Atlantic Packaging Contracted [4833] $168 568%
Evernorth Behavioral Contracted [2982] $169 571%
Mvp Health Care [3037] $169 571%
Aps Healthcare System [2981] $179 605%
Multiplan/Phcs Contracted [2950] $199 672%
Vsp Vision Care [2986] $202 682%
First Health Contracted [2952] $208 703%
Furman Int/Allen University Student [2951] $208 703%
Quiktrip-First Health [3067] $208 703%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 741 South East Main Street, Simpsonville, SC 29681
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals