CMS Price Transparency Data

Blood test, vitamin D

Facility: Baylor Scott & White Medical Center Hillcrest

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $144
Cash Discount Price: $192
vs. Medicare Baseline: 4.86x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Baylor Scott & White Medical Center Hillcrest is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 4.86x the Medicare baseline. Located in 100 Hillcrest Medical Blvd, Waco, TX.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

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: $192 (649%)

Insurance Median: $144 (486%)

Cash: $192 (649% of Medicare)

Ins. Median: $144 (486% 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 486% of the Medicare baseline (a markup of 386%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Baylor Scott & White Health Plan	$28 - $137	95%
Humana	$30 - $224	101%
Triwest	$30	101%
American Health Plan	$31	105%
Blue Cross Blue Shield	$31 - $175	105%
Corvel	$31	105%
Prime Health Services	$31	105%
Procare Advantage	$31	105%
UnitedHealthcare	$34 - $43	115%
Injury Management Organization	$37	125%
Superior Health Plan	$38	128%
Sedgwick	$44	149%
Texas Workforce Commission	$106	358%
Cigna	$165 - $193	557%
Aetna	$176	595%
Midcoast	$176	595%
Quiktrip	$176	595%
University Of Mary Hardin-Baylor	$186	628%
Independent Medical System	$192	649%
Imagine Health	$201	679%
Curative	$208	703%
First Health	$224	757%
Healthsmart	$224 - $241	757%
Private Health Care System	$241	814%

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 $192.
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 Baylor Scott & White Medical Center Hillcrest 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.