CMS Price Transparency Data

Blood test, vitamin D

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $78
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 2.64x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Froedtert Memorial Lutheran Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 2.64x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $107 (361%)
Insurance Median: $78 (264%)
Cash: $107 (361% of Medicare)
Ins. Median: $78 (264% 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 264% of the Medicare baseline (a markup of 164%). 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
Centivo $25 - $86 84%
Medical College Of Wisconsin $28 - $86 95%
Network Health Plan $29 - $32 98%
Aetna $30 - $170 101%
Blue Cross Blue Shield $30 - $148 101%
Care Wisconsin/Mychoice $30 101%
Community Care $30 101%
Health Partners $30 - $162 101%
Humana $30 101%
Icare $30 101%
Molina $30 101%
Priority Health $30 101%
Quartz $30 101%
Security Health Plan $30 - $205 101%
UnitedHealthcare $30 - $36 101%
Upper Peninsula Health Plan $30 101%
Wellcare $30 101%
Chorus Community Health Plan $33 - $102 111%
Froedtert South $34 - $104 115%
Sheboygan Employers Health Network $36 122%
Wisconsin Physician Services Statewide Alliance $53 - $164 179%
Health Payment Systems $55 - $172 186%
Trilogy $55 - $170 186%
Cigna $66 - $204 223%
Dean Health Plan $67 - $209 226%
Group Health Cooperative $67 - $209 226%
Healtheos $67 - $209 226%
Multiplan/Private Healthcare Systems $67 - $209 226%
Healthsmart $70 - $217 236%
Wisconsin Physician Services $71 - $222 240%
First Health Network $73 - $226 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals