CMS Price Transparency Data

Blood test, vitamin D

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $318
Cash Discount Price: $407
vs. Medicare Baseline: 10.74x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $407. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 10.74x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$407

Average discount available for prompt cash payment at this facility.

Insurance Median

$318

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: $407 (1375%)

Insurance Median: $318 (1074%)

Cash: $407 (1375% of Medicare)

Ins. Median: $318 (1074% 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 1074% of the Medicare baseline (a markup of 974%). 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 - $155	101%
Humana	$30 - $417	101%
Managed Health Services	$30 - $32	101%
Molina Healthcare Of Wi	$30 - $399	101%
Network Health Plan	$30 - $392	101%
Quartz	$30 - $267	101%
Security Health Plan (Shp)	$30 - $271	101%
UnitedHealthcare	$30 - $104	101%
Veteran'S Administration (Va Ccn)	$30	101%
Group Health Cooperative Of Eau Claire	$31 - $446	105%
My Choice	$31	105%
Trilogy	$31 - $422	105%
Icare	$32 - $34	108%
The Alliance	$197 - $238	666%
Amish/Mennonite	$213 - $258	720%
Wps Health Insurance	$261 - $316	882%
Cigna	$264 - $347	892%
Health Payment Systems	$270 - $326	912%
First Health	$330 - $399	1115%
Healtheos By Multiplan Inc.	$361 - $446	1220%
Health Partners	$369 - $446	1247%
Coventry	$373 - $450	1260%

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 $407.
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 Marshfield Medical Center - Beaver Dam (Mmc-Bd) 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.