CMS Price Transparency Data

Blood test, vitamin D

Facility: Rio Grande Regional Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $37
  • Cash Discount Price: $220
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Rio Grande Regional Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $220. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.25x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$220

Average discount available for prompt cash payment at this facility.

Insurance Median
$37

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: $220 (743%)
Insurance Median: $37 (125%)
Cash: $220 (743% of Medicare)
Ins. Median: $37 (125% 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
Superior Health Plan $7 - $31 24%
United $17 - $154 57%
Texas Workforce Commission $23 - $82 78%
Texas Health Network $25 84%
Driscoll Children'S Health Plan $26 88%
Aetna $27 - $30 91%
Molina Healthcare $27 - $72 91%
Wellmed $29 98%
Allegian Health $30 - $137 101%
Blue Cross Blue Shield $30 - $154 101%
Cigna $30 - $108 101%
Humana $30 - $103 101%
Independent Medical System $30 101%
Triwest Healthcare Alliance $30 101%
American Health Plan $31 105%
Physicians Health Choice $31 105%
Prominence Health $31 105%
Provider Partners Health Plan Of Texas $31 105%
Shared Health $31 105%
Averde Health $32 - $113 108%
Molina $32 108%
Triwest Health Alliance $32 108%
Universal Health Care $36 122%
Healthsmart Preferred Care $42 - $291 142%
Superior $46 155%
First Health $56 - $197 189%
National Healthcare Solutions $58 - $205 196%
Southwest Medical $58 - $205 196%
Corvel Corporation $59 199%
Focus Healthcare $59 199%
Omni Healthcare $62 209%
Coastal Comp $63 - $222 213%
Usa Managed Care $63 - $274 213%
Oscar $70 236%
Ppo Next/ Medical Control $73 - $257 247%
Beech Street $77 - $274 260%
Multiplan $77 - $274 260%
Healthcare Highways $89 301%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals