CMS Price Transparency Data

Blood test, vitamin D

Facility: Astria Toppenish Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $161
Cash Discount Price: $152
vs. Medicare Baseline: 5.44x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Astria Toppenish Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 5.44x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $152 (514%)

Insurance Median: $161 (544%)

Cash: $152 (514% of Medicare)

Ins. Median: $161 (544% 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 544% of the Medicare baseline (a markup of 444%). 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
Medicaid / KanCare	$21 - $123	71%
Ambetter / Centene	$29	98%
Molina	$29	98%
UnitedHealthcare	$29 - $664	98%
Va	$29	98%
Aetna	$30 - $708	101%
Cigna	$30	101%
Humana	$30 - $804	101%
Li	$30	101%
Medicare (plans)	$30 - $664	101%
Tricare	$30	101%
Zenith	$30	101%
Molina_Exchange	$37	125%
Regence	$67 - $273	226%
Premera	$75 - $303	253%
Premera_Affordable_Care	$75 - $303	253%
Kaiser	$113	382%
Chpw_Cascade_Care	$125 - $507	422%
First_Choice	$137 - $555	463%
Tpsc	$155 - $627	524%
Bcchp	$199 - $804	672%
Great_Rivers	$199 - $804	672%
Healthcomp	$199 - $804	672%
Washington_State_Hca	$199 - $804	672%

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 $152.
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 Astria Toppenish Hospital 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.