CMS Price Transparency Data

Blood test, vitamin D

Facility: Sycamore Shoals Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $32
Cash Discount Price: $52
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Sycamore Shoals Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.08x the Medicare baseline. Located in 1501 West Elk Avenue, Elizabethton, TN.

Cash / Self-Pay

$52

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $52 (176%)

Insurance Median: $32 (108%)

Cash: $52 (176% of Medicare)

Ins. Median: $32 (108% 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.

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
Amerigroup	$15 - $30	51%
Aetna	$30 - $221	101%
Blue Cross Blue Shield	$30 - $168	101%
Humana	$30	101%
Managed Medicaire	$30	101%
Medicare (plans)	$30	101%
Sentara Health	$30 - $97	101%
United Mine Workers Of America	$30	101%
UnitedHealthcare	$30 - $38	101%
Cigna	$31 - $117	105%
Devoted Health Plan	$31	105%
Molina Healthcare	$31 - $33	105%
Nhc Advantage	$31	105%
Wellcare	$31 - $347	105%
Optima Health	$32	108%
Ambetter / Centene	$65	220%
Medcost	$121	409%
First Health Coventry	$260	878%
Seven Corners, Inc.	$347	1172%

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 $52.
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 Sycamore Shoals Hospital 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.