CMS Price Transparency Data

Blood test, vitamin D

Facility: Holy Family Memorial

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $115
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 3.89x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Holy Family Memorial is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 3.89x the Medicare baseline. Located in 2300 Western Ave, Manitowoc, WI.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $87 (294%)
Insurance Median: $115 (389%)
Cash: $87 (294% of Medicare)
Ins. Median: $115 (389% 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 389% of the Medicare baseline (a markup of 289%). 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
Allwell $30 101%
Blue Cross Blue Shield $30 - $38 101%
Community Care Incorporated $30 101%
Health Partners $30 - $179 101%
Humana $30 101%
Icare $30 101%
Molina $30 - $32 101%
Network Health Plan $30 - $152 101%
Security Health Plan $30 - $221 101%
UnitedHealthcare $30 - $36 101%
Medical College Of Wisconsin $48 - $91 162%
Centivo $58 - $127 196%
Dean Health Plan $72 - $138 243%
Health Payment Systems $74 250%
Chorus Community Health Plan $85 287%
Sheboygan Employers Health Network $86 - $166 291%
Trilogy $95 - $182 321%
Cigna $104 - $199 351%
Wps Health Plan $107 - $204 361%
Aspirus $115 - $221 389%
Healtheos $115 - $221 389%
Multiplan/Private Healthcare Systems $115 - $221 389%
Preferred One $115 - $221 389%
Healthsmart $120 - $229 405%
First Health Network $127 - $243 429%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 Western Ave, Manitowoc, WI 54221
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals