CMS Price Transparency Data

Blood test, vitamin D

Facility: North Austin Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $116
  • Cash Discount Price: $968
  • vs. Medicare Baseline: 3.92x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at North Austin Medical Center is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $968. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.92x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$968

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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: $968 (3270%)
Insurance Median: $116 (392%)
Cash: $968 (3270% of Medicare)
Ins. Median: $116 (392% 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 392% of the Medicare baseline (a markup of 292%). 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
Superior Health Plan $20 - $261 68%
St David’S Hospice $25 - $30 84%
United $25 - $691 84%
Blue Cross Blue Shield $26 - $453 88%
Molina Healthcare $27 - $32 91%
Wellmed $29 98%
Aetna $30 - $31 101%
Cigna $30 - $83 101%
Devoted Health $30 101%
Humana $30 - $31 101%
Odyssey Hospice $30 101%
Triwest Healthcare Alliance $30 101%
UnitedHealthcare $30 - $691 101%
American Health Plan Of Texas $31 105%
Provider Partners Health Plan $31 105%
Sendero $31 - $51 105%
Shared Health $31 105%
Texas Independent Health Plan $31 105%
Wellcare $31 105%
Pyramid Life $32 108%
Triwest Health Alliance $32 108%
Imperial Insurance $33 111%
Universal Health $36 122%
Amerigroup $37 125%
Austin Fc $37 125%
Naphcare $46 155%
Seven Corners $46 155%
Corvel Corporation $59 199%
Oscar $81 - $91 274%
Moda $94 - $361 318%
Covenant Management Systems $115 - $442 389%
Healthcare Highways $116 - $461 392%
Imo Med - Select Network $120 - $461 405%
Nomi Health $128 - $568 432%
Moda Health $144 - $568 486%
Evry Health $147 - $565 497%
Texas Healthcare Foundation Heb $148 - $568 500%
Texas Workforce Commission $156 - $599 527%
Harbor Health Team $160 - $614 541%
Averde Health $180 - $691 608%
Comanche County $200 - $768 676%
National Choicecare $200 - $768 676%
Healthsmart Preferred Care $220 - $1,229 743%
Independent Medical Systems $220 - $845 743%
Physicians Cooperative Of Texas $220 - $845 743%
Prime Health $240 - $922 811%
First Health $250 - $1,091 845%
Coastal Comp Health Networks $260 - $998 878%
National Health Care $260 - $998 878%
Texas Municipal League $280 - $1,075 946%
Medcorp Southwest $300 - $1,152 1014%
Rockport Healthcare Group $320 - $1,382 1081%
Bce Emergis Corporation $360 - $1,382 1216%
Beech Street $360 - $1,382 1216%
Medical Control Network Solutions $360 - $1,382 1216%
Multiplan $360 - $1,382 1216%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals