CMS Price Transparency Data

Blood test, vitamin D

Facility: Othello Community Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $451
  • Cash Discount Price: $423
  • vs. Medicare Baseline: 15.24x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Othello Community Hospital is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $423. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 15.24x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$423

Average discount available for prompt cash payment at this facility.

Insurance Median
$451

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: $423 (1429%)
Insurance Median: $451 (1524%)
Cash: $423 (1429% of Medicare)
Ins. Median: $451 (1524% 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 1524% of the Medicare baseline (a markup of 1424%). 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
Ambetter / Centene $240 - $242 811%
Amerigroup Mcaid $240 811%
Chp Mcaid $240 811%
Cocare - All Plans $240 811%
Gau - All Plans $240 811%
Kaiser - All Plans $240 811%
Molina Mcaid $240 811%
UnitedHealthcare $240 - $564 811%
Chp - All Other Plans $242 818%
Molina - All Other Plans $242 818%
Medicare (plans) $282 953%
Tricare $366 1236%
Triwest - All Plans $366 1236%
Asuris - All Plans $451 1524%
Commercial Other - All Plans $451 1524%
Hma - All Plans $451 1524%
Hmso - All Plans $451 1524%
Tpsc - All Plans $451 1524%
Travelers - All Plans $451 1524%
Veterans Admin - All Plans $451 1524%
Blue Cross Blue Shield $473 1598%
Cigna $502 1696%
First Choice - All Plans $507 1713%
Aetna $530 1791%
Chp Mcr Adv $564 1905%
Health Alliance Mcr Adv - All Plans $564 1905%
Humana $564 1905%
Molina Mcare $564 1905%
Wellcare Mcr Adv - All Plans $564 1905%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals