CMS Price Transparency Data

Blood test, vitamin D

Facility: Medical City Plano

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $77
  • Cash Discount Price: $1,870
  • vs. Medicare Baseline: 2.60x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Medical City Plano is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,870. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.60x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$1,870

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $1,870 (6318%)
Insurance Median: $77 (260%)
Cash: $1,870 (6318% of Medicare)
Ins. Median: $77 (260% 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 260% of the Medicare baseline (a markup of 160%). 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
Amerigroup $25 - $30 84%
United $25 - $413 84%
Cigna $26 - $332 88%
Aetna $27 - $1,436 91%
Molina $27 - $32 91%
Parkland Community Health Plan $27 91%
Wellmed $29 98%
Blue Cross Blue Shield $30 - $1,054 101%
Care N Care $30 101%
Devoted Health $30 101%
Humana $30 - $329 101%
Integranet $30 101%
Mutual Of Omaha $30 101%
Triwest Veterans $30 101%
Wellcare $30 101%
American Health Plan Of Texas, Inc. $31 105%
Procare Advantge $31 105%
Provider Partners Health Plan $31 105%
Superior Health Plan $31 - $166 105%
Texas Independent Health Plan $31 105%
Triwest Health Alliance $32 108%
Imperial Insurance Company $33 111%
Universal Healthcare Group $36 122%
Verda Health Plan $38 128%
Bravo Health $44 149%
Superior $53 - $66 179%
Usa Managed Care $56 - $1,899 189%
Corvel Corporation $59 199%
Oscar $77 260%
Molina Healthcare $78 264%
Healthcare Highways $335 - $803 1132%
Evry Health $352 - $613 1189%
Lifecare Hospitals $410 - $712 1385%
Prominence Health Plan $546 - $950 1845%
City Of Mckinney $614 - $1,068 2074%
Fidelis Securecare $614 - $1,068 2074%
National Choicecare $683 - $1,187 2307%
Pc Texas Partners $751 - $1,306 2537%
Physicians Coop Of Tx $751 - $1,306 2537%
Rockport Health Group $751 - $1,306 2537%
Averde Health, Inc $792 - $1,377 2676%
Texas Healthcare Foundation Wc $887 - $1,543 2997%
Coastal Comp Health Networks $956 - $1,662 3230%
Mega Life $956 - $1,662 3230%
Multiplan Phcs $956 - $1,662 3230%
Healthsmart Preferred Care $1,024 - $1,781 3459%
Lewisville Isd/Dls Consulting $1,024 - $1,781 3459%
Usc Health Services $1,092 - $1,899 3689%
Galaxy Health Network $1,161 - $2,018 3922%
Independent Medical Systems $1,365 - $2,374 4611%
National Healthcare Solutions $1,365 - $2,374 4611%
Unicare $1,365 - $2,374 4611%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals