CMS Price Transparency Data

Blood test, vitamin D

Facility: Oakleaf Surgical Hospital

Billing Code: 82306 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82306
  • Insurance Median: $30
  • Cash Discount Price: $285
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin D at Oakleaf Surgical Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $29.6, this hospital’s rate is 1.01x the Medicare baseline. Located in 1000 Oakleaf Way, Altoona, WI.
Cash / Self-Pay
$285

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $285 (963%)
Insurance Median: $30 (101%)
Cash: $285 (963% of Medicare)
Ins. Median: $30 (101% 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.

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 $30 101%
Dean Health Plan $30 101%
Group Health Cooperative Of Eau Claire $30 101%
Healthpartners $30 101%
Humana $30 101%
Medica $30 101%
Quartz Health Solutions $30 101%
Security Health Plan Of Wi $30 101%
Ucare Wi $30 101%
UnitedHealthcare $30 101%

Consumer Guidance & Cost Commentary

For this blood test for vitamin D at Oakleaf Surgical Hospital in Altoona, WI, the cash median price is $285, which is significantly higher than the state average of $30. While the facility lists a gross charge of $316, patients with high-deductible plans might find the cash rate more affordable than the negotiated rate of $30 if their insurance allows, though the data indicates the negotiated amount is higher than the cash price. The Medicare benchmark rate for this service is $29.60, meaning the cash price is roughly nine times the Medicare amount.

This procedure is covered by 10 payers, including Blue Cross Blue Shield and UnitedHealthcare, all of which have a negotiated rate of $30. Since the cash price of $285 exceeds the negotiated rate of $30, patients should verify their specific plan details before deciding on payment method. It is important to request an itemized billing audit before finalizing payment to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors. Additionally, patients should ask the hospital about prompt-pay discounts or self-pay rates before scheduling, as these can reduce the final cost by bypassing administrative processing fees and insurance claim cycles.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Oakleaf Way, Altoona, WI 54720
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals