CMS Price Transparency Data

Blood test, vitamin D

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $166
Cash Discount Price: $219
vs. Medicare Baseline: 5.61x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Baylor Scott & White Medical Center Pflugerville is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.61x the Medicare baseline. Located in 2600 East Pflugerville Parkway, Pflugerville, TX.

Cash / Self-Pay

$219

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: $219 (740%)

Insurance Median: $166 (561%)

Cash: $219 (740% 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.

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
UnitedHealthcare	$11 - $34	37%
Baylor Scott & White Health Plan	$28 - $156	95%
Humana	$30 - $256	101%
Superior Health Plan	$30 - $66	101%
Triwest	$30	101%
American Health Plan	$31	105%
Corvel	$31	105%
Healthspring	$31	105%
Prime Health Services	$31	105%
Procare Advantage	$31	105%
Sedgwick	$44	149%
Blue Cross Blue Shield	$144 - $175	486%
Cigna	$173 - $202	584%
Aetna	$201	679%
Midcoast	$201	679%
Quiktrip	$201	679%
University Of Mary Hardin-Baylor	$212	716%
Independent Medical System	$219	740%
Curative	$237	801%
First Health	$256	865%
Healthsmart	$256 - $274	865%
Private Health Care System	$274	926%
Three Rivers	$329	1111%

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 $219.
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 Baylor Scott & White Medical Center Pflugerville 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.