CMS Price Transparency Data

Blood test, vitamin D

Facility: Texas Childrens Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $166
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 5.61x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Texas Childrens Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.61x the Medicare baseline. Located in 6621 Fannin Street, Houston, TX.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $175 (591%)
Insurance Median: $166 (561%)
Cash: $175 (591% of Medicare)
Ins. Median: $166 (561% 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 561% of the Medicare baseline (a markup of 461%). 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 Chip $30 - $31 101%
Driscoll Children'S Health Plan Mcd $33 111%
Community Health Choice $52 - $167 176%
First Care Health Plan $70 - $167 236%
UnitedHealthcare $70 - $167 236%
Molina Mcd $78 264%
Blue Cross Blue Shield $91 - $164 307%
Community First Health Plan Mcd $104 351%
Cook Children'S Health Plan $104 351%
Cigna $149 - $167 503%
Aetna $167 564%
Kelseycare $170 574%
Healthsmart $183 618%
Evolutions Healthcare $196 662%
First Health $230 - $248 777%
Multiplan $235 794%
Galaxy Health Network $248 838%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6621 Fannin Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens