CMS Price Transparency Data

Blood test, vitamin D

Facility: Unitypoint Health - Meriter

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82306
Insurance Median: $39
Cash Discount Price: $89
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin D at Unitypoint Health - Meriter is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.32x the Medicare baseline. Located in 202 S Park St, Madison, WI.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

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: $89 (301%)

Insurance Median: $39 (132%)

Cash: $89 (301% of Medicare)

Ins. Median: $39 (132% 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.

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	$18 - $62	61%
Aspirus	$26 - $77	88%
Blue Cross Blue Shield	$30 - $146	101%
Humana	$30	101%
Illinicare	$30	101%
Meridiancare	$30	101%
Prevea 360	$30 - $131	101%
Wellmark Uph Self-Funded	$30 - $64	101%
Cigna	$33 - $43	111%
Security Health Plan	$34 - $46	115%
Quartz	$35	118%
Mercy Care	$37 - $54	125%
Medical Associates Health Plan	$40 - $57	135%
Health Partners Open Network	$41 - $46	139%

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 $89.
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 Unitypoint Health - Meriter 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.