CMS Price Transparency Data

Blood test, vitamin D

Facility: Cook Childrens Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $94
Cash Discount Price: $122
vs. Medicare Baseline: 3.18x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Cook Childrens Medical Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.18x the Medicare baseline. Located in 801 Seventh Avenue, Fort Worth, TX.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $122 (412%)

Insurance Median: $94 (318%)

Cash: $122 (412% of Medicare)

Ins. Median: $94 (318% 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 318% of the Medicare baseline (a markup of 218%). 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
Health Plan W. Uhrip	$25 - $179	84%
Aetna	$30 - $400	101%
Beacon	$30 - $113	101%
El Paso Health First	$30 - $71	101%
Health Plan W/O Uhrip	$30 - $113	101%
Tx Children Health	$30 - $71	101%
Wellpoint	$31	105%
Blue Cross Blue Shield	$32 - $423	108%
Superior Health	$32	108%
Firstcare	$33 - $376	111%
Molina	$33 - $60	111%
Rightcare	$33 - $157	111%
United Community	$33	111%
UnitedHealthcare	$71 - $400	240%
S&W Health	$136 - $395	459%
Cigna	$138 - $400	466%
Healthscope	$138 - $400	466%
Imagine Health	$138 - $400	466%
Humana	$141 - $414	476%
Multiplan	$141 - $409	476%
First Health	$143 - $414	483%
Galaxy Health	$146 - $423	493%
Healthsmart	$146 - $423	493%
Usamco	$149 - $432	503%

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 $122.
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 Cook Childrens Medical Center 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.