CMS Price Transparency Data

Blood test, vitamin D

Facility: Mountain West Medical Center

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $97
Cash Discount Price: $89
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Mountain West Medical Center is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.28x the Medicare baseline. Located in 2055 North Main Street, Tooele, UT.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $89 (301%)

Insurance Median: $97 (328%)

Cash: $89 (301% of Medicare)

Ins. Median: $97 (328% 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 328% of the Medicare baseline (a markup of 228%). 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
Blue Cross Blue Shield	$30 - $33	101%
Select Health McR Adv	$30	101%
Pehp-All Plans	$35 - $53	118%
Medicare (plans)	$37	125%
Wise/Motivhealth-All Plans	$77 - $116	260%
U of Ut-All Plans	$77 - $116	260%
Cigna	$84 - $127	284%
Dmba-All Plans	$85 - $129	287%
Aetna	$88 - $134	297%
Select Health-All Other Plans	$88 - $134	297%
UnitedHealthcare	$91 - $138	307%
Multiplan Primary Network-All Other Plans	$93 - $141	314%
Humana	$100 - $152	338%
Emi-All Plans	$100 - $152	338%
Multiplan Complimentary Network	$109 - $165	368%

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 $89.
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 Mountain West 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.