CMS Price Transparency Data

Blood test, vitamin D

Facility: Primary Children's Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $97
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 3.28x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Primary Children's Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.28x the Medicare baseline. Located in 100 North Mario Capecchi Drive, Salt Lake City, UT.
Cash / Self-Pay
$103

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: $103 (348%)
Insurance Median: $97 (328%)
Cash: $103 (348% 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.

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
Health Plan Of Nevada $25 - $30 84%
Tricare $26 88%
Triwest $26 88%
American Health $30 - $78 101%
Healthy U $30 101%
Molina $30 - $115 101%
Selecthealth $30 - $115 101%
Southwest Behavioral Health $30 101%
UnitedHealthcare $30 - $115 101%
Donor Connect $49 - $54 166%
Aetna $97 - $116 328%
Awh Connected $97 - $116 328%
Byu Athletics $97 - $115 328%
Campbell Scientific $97 - $115 328%
Cigna $97 - $115 328%
Deseret Mutual $97 - $115 328%
Emi $97 - $115 328%
Emi Health $97 - $115 328%
First Choice $97 - $115 328%
First Choice Of The Midwest $97 - $115 328%
Franklin County $97 - $115 328%
Global Excel $97 - $115 328%
Health Utah $97 - $115 328%
Humana $97 - $115 328%
Hygeia Corporation $97 - $115 328%
Ifit $97 - $115 328%
Juniper Systems $97 - $115 328%
Lw Miller $97 - $115 328%
Managed Care Admin $97 - $115 328%
Medcare International $97 - $115 328%
Motivhealth $97 - $115 328%
Pehp $97 - $115 328%
Prodegi Corp Benefit $97 - $115 328%
Tanner Llc $97 - $115 328%
Uofu $97 - $115 328%
Utah Tech $97 - $115 328%
Wise Network $97 - $115 328%
First Health $98 - $116 331%
Blue Cross Blue Shield $100 - $118 338%
Springtide $100 - $118 338%
Utah Behavioral Health Network $111 375%
Altius Mhnet Behavioral Health $120 405%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 North Mario Capecchi Drive, Salt Lake City, UT 84113
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens