CMS Price Transparency Data

Blood test, vitamin D

Facility: Memorial Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $85
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 2.87x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Memorial Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.87x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $178 (601%)
Insurance Median: $85 (287%)
Cash: $178 (601% of Medicare)
Ins. Median: $85 (287% 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 287% of the Medicare baseline (a markup of 187%). 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
Ambetter / Centene $7 - $101 24%
Healthcare Highways-All Plans $13 - $241 44%
Prime Healthcare Services-All Plans $14 - $211 47%
Blue Cross Blue Shield $15 - $139 51%
Humana $16 - $241 54%
Corvel Work Comp-All Plans $17 - $256 57%
Independent Med Sys Ppo-All Plans $17 - $256 57%
Multiplan Mcr Adv $17 - $84 57%
Multiplan Phcs Ppo-All Other Plans $17 - $256 57%
Provider Select Ppo-All Plans $17 - $256 57%
Three Rivers Ppo-All Plans $17 - $256 57%
Usa Mso - All Plans $17 - $256 57%
UnitedHealthcare $18 - $241 61%
Amerigroup Chip $21 - $144 71%
Amerigroup Star $21 - $144 71%
Amerigroup Star Kids $21 - $144 71%
Amerigroup Star Plus $21 - $144 71%
Comm Health Chip $21 - $144 71%
Comm Health Perinatal-All Other Plans $21 - $144 71%
Molina Chip/Star-All Plans $21 - $144 71%
Scott & White Chip/Star-All Plans $21 - $144 71%
Superior Chip/Star $21 - $144 71%
Texas Childrens Hp - All Plans $21 - $144 71%
Comm Health Mcaid Hmo $22 - $152 74%
Comm Health Star $22 - $152 74%
Triwest Va Pccc-All Plans $29 - $83 98%
Amerigroup Mcr Adv-All Other Plans $30 - $84 101%
Care Improvement Plus - All Other Plans $30 - $84 101%
Care Improvement Plus Mcr $30 - $85 101%
Superior Allwell Mcr Adv-All Other Plans $30 - $84 101%
Universal American Mcr-All Other Plans $30 - $84 101%
Universal American Snp $31 - $88 105%
Coventry First Hlth Hmo Ppo-All Other Plans $37 - $241 125%
Coventry First Hlth Mcr Adv $37 - $84 125%
Galaxy Health Network-All Plans $43 - $256 145%
Capstar Health Network-All Plans $52 - $241 176%
Cigna $52 - $226 176%
Aetna $203 - $241 686%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals