CMS Price Transparency Data

Blood test, vitamin D

Facility: Forks Community Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $106
Cash Discount Price: $162
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Forks Community Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.58x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$162

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $162 (547%)

Insurance Median: $106 (358%)

Cash: $162 (547% of Medicare)

Ins. Median: $106 (358% 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 358% of the Medicare baseline (a markup of 258%). 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	$60 - $173	203%
Medicaid / KanCare	$70 - $74	236%
Coordinated Care (Mco) Mcd-All Plans	$76	257%
Community Health Network Mcr-All Other Plans	$91	307%
Humana	$91	307%
Tricare	$91	307%
Triwest-All Plans	$91	307%
Ambetter / Centene	$106	358%
Wellcare Med Adv - All Plans	$106	358%
Regence-All Other Plans	$117	395%
Community Health Exchange	$132	446%
Molina Commercial-All Other Plans	$187	632%
Aetna	$193	652%
Blue Cross Blue Shield	$193	652%
Cigna	$203	686%
First Choice-All Plans	$203	686%
Medicare (plans)	$318	1074%

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 $162.
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 Forks Community 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.